OrganizationActive
Korena Popp Fnp Medical Services LLC
NPI 1093368276 · Clinic/Center · Donnelly, ID
Provider details
- NPI number
- 1093368276
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Korena Popp, NP(208) 325-3500
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
454 W Roseberry Rd. Ste 104
Donnelly, ID 83615-8361
Phone: (208) 325-3500
Fax: (208) 325-3501
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 172
Donnelly, ID 83615-0172
Other names (DBA / former)
- Doing business as
- The Change Clinic
Registry dates
- Enumerated
- 2019-07-17
- Last updated
- 2019-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.