Provider Demographics
NPI:1689909889
Name:POPPE, CHRISTINE ANNE (CRNP GNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ANNE
Last Name:POPPE
Suffix:
Gender:F
Credentials:CRNP GNP-BC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-0100
Mailing Address - Country:US
Mailing Address - Phone:610-388-5531
Mailing Address - Fax:610-388-5564
Practice Address - Street 1:1109 E BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-2366
Practice Address - Country:US
Practice Address - Phone:610-388-5531
Practice Address - Fax:610-388-5564
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP010435363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology