Provider Demographics
NPI:1407356462
Name:POPPE, LAURA ELISABETH (APRN, PNP-PC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ELISABETH
Last Name:POPPE
Suffix:
Gender:F
Credentials:APRN, PNP-PC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:ELISABETH
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4002 BURKE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-3451
Mailing Address - Country:US
Mailing Address - Phone:281-741-2982
Mailing Address - Fax:855-492-3970
Practice Address - Street 1:4002 BURKE RD STE 100
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3451
Practice Address - Country:US
Practice Address - Phone:281-741-2982
Practice Address - Fax:855-492-3970
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX890982163W00000X
TX1012654363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse