Individual provider · Type 1 NPI
Myra Lee Popernack, CRNP
Pediatric Nurse Practitioner · Hershey, PA
NPI number
1376863555
Active
Practice location
500 University Dr
Hershey, PA 17033-2360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP010470 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1376863555
Myra Lee Popernack, CRNP's National Provider Identifier is 1376863555, issued on Jun 10, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Hershey, PA. The record was last updated on Jun 10, 2010.