Provider Demographics
NPI:1649785650
Name:POPLUS, RHONDA DEION (NP)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:DEION
Last Name:POPLUS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6354
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70469-6354
Mailing Address - Country:US
Mailing Address - Phone:985-326-1776
Mailing Address - Fax:470-200-1066
Practice Address - Street 1:2930 CANAL ST STE 401
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6367
Practice Address - Country:US
Practice Address - Phone:504-821-2574
Practice Address - Fax:504-821-2595
Is Sole Proprietor?:No
Enumeration Date:2017-12-13
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN123330163W00000X
LAAP09658363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse