Basic Information
| Provider Information | |||||||||
| NPI: | 1740327337 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | POPLIN | ||||||||
| FirstName: | ANN | ||||||||
| MiddleName: | HYATT | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 524 INGRAM RD | ||||||||
| Address2: | |||||||||
| City: | LILESVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280916035 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9102356831 | ||||||||
| FaxNumber: | 9102152539 | ||||||||
| Practice Location | |||||||||
| Address1: | 35 MEMORIAL DR | ||||||||
| Address2: | FIRST HEALTH WOUND CARE CENTER (HEALOGICS) | ||||||||
| City: | PINEHURST | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283748708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9107155901 | ||||||||
| FaxNumber: | 9102152539 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2007 | ||||||||
| LastUpdateDate: | 01/08/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 0050-02608 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.