Organization · Type 2 NPI
Korena Popp FNP Medical Services LLC
Clinic/Center · Donnelly, ID
NPI number
1093368276
Active
Practice location
454 W Roseberry Rd. Ste 104
Donnelly, ID 83615-8361
Fax (208) 325-3501
Mailing address
PO Box 172
Donnelly, ID 83615-0172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1093368276
Korena Popp FNP Medical Services LLC's National Provider Identifier is 1093368276, issued on Jul 17, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Donnelly, ID. The record was last updated on Jul 17, 2019.