Provider Demographics
NPI:1124827027
Name:BOPP, YVONNE
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:BOPP
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 L ST
Mailing Address - Street 2:
Mailing Address - City:ORD
Mailing Address - State:NE
Mailing Address - Zip Code:68862-1896
Mailing Address - Country:US
Mailing Address - Phone:308-212-0043
Mailing Address - Fax:
Practice Address - Street 1:1120 L ST
Practice Address - Street 2:
Practice Address - City:ORD
Practice Address - State:NE
Practice Address - Zip Code:68862-1896
Practice Address - Country:US
Practice Address - Phone:308-212-0043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion