Individual provider · Type 1 NPI
Heather Popham, NP
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1093086985
Active
Practice location
3009 N Ballas Rd, Ste 207B
St. Louis, MO 63131-2322
Fax (314) 989-0235
Mailing address
670 Mason Ridge Center Dr, Ste 300
St. Louis, MO 63141-8573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2011041207 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1093086985
Heather Popham, NP's National Provider Identifier is 1093086985, issued on Jan 24, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Oct 15, 2014.