Provider Demographics
NPI:1457950032
Name:POPE, MARY CHRISTINE (ARNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:CHRISTINE
Last Name:POPE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 E AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:IA
Mailing Address - Zip Code:51462-7520
Mailing Address - Country:US
Mailing Address - Phone:712-830-3157
Mailing Address - Fax:
Practice Address - Street 1:1023 E AVENUE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:IA
Practice Address - Zip Code:51462-7520
Practice Address - Country:US
Practice Address - Phone:712-830-3157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA160847363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily