Provider Demographics
NPI:1457822744
Name:POPE, MERIDETH BECK (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MERIDETH
Middle Name:BECK
Last Name:POPE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:MERIDETH
Other - Middle Name:KATHRYN DOLING
Other - Last Name:BECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9530 24TH BAY ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-1714
Mailing Address - Country:US
Mailing Address - Phone:508-380-4396
Mailing Address - Fax:
Practice Address - Street 1:9530 24TH BAY ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-1714
Practice Address - Country:US
Practice Address - Phone:508-380-4396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24176742363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily