Provider Demographics
NPI:1437702354
Name:POPE, TREAUNDRA (CNP)
Entity Type:Individual
Prefix:
First Name:TREAUNDRA
Middle Name:
Last Name:POPE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:TREAUNDRA
Other - Middle Name:
Other - Last Name:POPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNP
Mailing Address - Street 1:7754 MEADOWCREEK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-2955
Mailing Address - Country:US
Mailing Address - Phone:513-607-4565
Mailing Address - Fax:
Practice Address - Street 1:1019 LINN ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45203-1314
Practice Address - Country:US
Practice Address - Phone:513-233-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-19
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.273103163WE0003X
OHAPRN.CNP.025194363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No163WE0003XNursing Service ProvidersRegistered NurseEmergencyGroup - Multi-Specialty