Provider Demographics
NPI:1437589678
Name:POPAS, THERESA Y (NP-C)
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:Y
Last Name:POPAS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 GLENWOOD DR STE E780
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1177
Mailing Address - Country:US
Mailing Address - Phone:423-697-0072
Mailing Address - Fax:423-697-1798
Practice Address - Street 1:725 GLENWOOD DR STE E780
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1177
Practice Address - Country:US
Practice Address - Phone:423-697-0072
Practice Address - Fax:423-697-1798
Is Sole Proprietor?:No
Enumeration Date:2013-11-26
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18128363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner