Provider Demographics
NPI:1063609675
Name:POEPSEL, WILLIAM J (RN FA)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:POEPSEL
Suffix:
Gender:M
Credentials:RN FA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6029 WALNUT GROVE RD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2112
Mailing Address - Country:US
Mailing Address - Phone:901-747-3066
Mailing Address - Fax:901-747-2966
Practice Address - Street 1:6029 WALNUT GROVE RD
Practice Address - Street 2:SUITE 401
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2112
Practice Address - Country:US
Practice Address - Phone:901-747-3066
Practice Address - Fax:901-747-2966
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000071824163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant