# MR. MARK ERWIN SANTOS LOPEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649674797
- **Gender:** Man
- **Credential:** DNP, APRN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 763720 | TX | — |
| 163W00000X | Registered Nurse | 95119878 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95006452 | CA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP126629 | TX | — |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 04/14/2023