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Jonathan Stanley Popko, CNP

Nurse Practitioner, Family in Minneapolis, MN. Individual provider (NPI-1).

NPI number1558080929
StatusActive
Last updated in NPPESAug 26, 2022

Details

NPI
1558080929
Entity type
Individual (NPI-1)
Name
Jonathan Stanley Popko
Credential
CNP
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 26, 2022
Certification date
Aug 26, 2022
Last updated
Aug 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family9456MNYes

Practice location

606 24th Ave S Ste 602
Minneapolis, MN 55454-1438

Phone 612-672-2450

Mailing address

3215 E 24th St
Minneapolis, MN 55406-1405

Phone 612-562-5880

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