# MARCO OLIVER DUGAN LOPEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1366856304
- **Gender:** Man
- **Credential:** DNP, FNP, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 716471 | CA | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 2013001613 | CA | — |
| 163WP2201X | Ambulatory Care Registered Nurse | 716471 | CA | — |
| 363L00000X | Nurse Practitioner | 95000854 | CA | — |
| 363LF0000X | Family Nurse Practitioner | 95000854 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2015009739 | CA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95000845 | CA | — |
| 363LP2300X | Primary Care Nurse Practitioner | 95000845 | CA | — |

## Other

- **Enumeration date:** 06/18/2014
- **Last updated:** 10/04/2024