Provider Demographics
NPI:1477988103
Name:POPKIN, LIANE (RN)
Entity Type:Individual
Prefix:
First Name:LIANE
Middle Name:
Last Name:POPKIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8155 E FAIRMOUNT DR UNIT 221
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6828
Mailing Address - Country:US
Mailing Address - Phone:818-624-9490
Mailing Address - Fax:
Practice Address - Street 1:8155 E FAIRMOUNT DR UNIT 221
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6828
Practice Address - Country:US
Practice Address - Phone:818-624-9490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN648374163W00000X
CO1622457163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse