Provider Demographics
NPI:1811395254
Name:POPELKA, NANCY LEE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LEE
Last Name:POPELKA
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:200 ROBINHOOD MEDICAL PLZ
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-5471
Mailing Address - Country:US
Mailing Address - Phone:336-718-7963
Mailing Address - Fax:336-277-7527
Practice Address - Street 1:200 ROBINHOOD MEDICAL PLZ
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-5471
Practice Address - Country:US
Practice Address - Phone:336-718-7963
Practice Address - Fax:336-277-7527
Is Sole Proprietor?:No
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-05391363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant