Provider Demographics
NPI:1457913337
Name:POPA, HANNAH M (CNP)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:M
Last Name:POPA
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:MEACHUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1105 SIXTH ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2345
Mailing Address - Country:US
Mailing Address - Phone:231-935-6380
Mailing Address - Fax:231-935-6920
Practice Address - Street 1:1105 SIXTH ST
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2345
Practice Address - Country:US
Practice Address - Phone:231-935-6380
Practice Address - Fax:231-935-6920
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-01
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704310708363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner