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Individual
MRS. SHANNON MARIE LOPEZ
Active
Individual
MRS. SHANNON MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN.430776
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0029685
OHIO BOARD OF NURSING
OH
01
—
F08210428
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
—
01
—
RN.430776
OHIO BOARD OF NURSING
OH
Enumeration date
09/22/2021
Last updated
09/24/2021
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