Provider Demographics
NPI:1801171640
Name:POPPLEWELL, SANDRA FAYE (NP)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:FAYE
Last Name:POPPLEWELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:199 HOSPITAL DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-2454
Mailing Address - Country:US
Mailing Address - Phone:540-236-6136
Mailing Address - Fax:540-236-2536
Practice Address - Street 1:199 HOSPITAL DR
Practice Address - Street 2:SUITE 5
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-2454
Practice Address - Country:US
Practice Address - Phone:540-236-6136
Practice Address - Fax:540-236-2536
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024169717363LF0000X
KY3007021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily