Anthony Populo
Nurse Practitioner (Acute Care)

Address: 1700 W Whitton Ave, Phoenix, AZ 85015-5533
Phone: 6023184383

Anthony Populo (NPI# 1033739081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1033739081
Entity Type Individual
Full Name Anthony Populo
Credential DNP
Gender Male
Practice Address 1700 W Whitton Ave
AZ 85015-5533
Practice Telephone 6023184383
Mailing Address 1700 W Whitton Ave
AZ 85015-5533
Mailing Telephone 6023184383
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-04-20
Last Update Date 2020-04-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LA2100X Nurse Practitioner · Acute Care Physician Assistants & Advanced Practice Nursing Providers 239555 AZ

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Office Location

Street Address 1700 W WHITTON AVE
State AZ
Zip Code 85015-5533

Providers in the same zip code

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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