Provider Demographics
NPI:1851537047
Name:POPLAWSKI, DONNA TASCO (NP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:TASCO
Last Name:POPLAWSKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 PARSIPPANY BLVD
Mailing Address - Street 2:
Mailing Address - City:BOONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-9720
Mailing Address - Country:US
Mailing Address - Phone:973-971-5290
Mailing Address - Fax:
Practice Address - Street 1:360 PARSIPPANY BLVD
Practice Address - Street 2:
Practice Address - City:BOONTON
Practice Address - State:NJ
Practice Address - Zip Code:07005-9720
Practice Address - Country:US
Practice Address - Phone:973-971-5290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN07335300363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health