Organization
ELLEN S LOPEZ FNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA M COLEMAN (BILLING MANAGER)
(719) 645-8502
Entity
Organization
Contact information
Practice address
2020 W COLORADO AVE STE 301, COLORADO SPRINGS, CO 80904-3882
(719) 473-2668
Mailing address
2020 W COLORADO AVE STE 301, COLORADO SPRINGS, CO 80904-3882
(719) 473-2668
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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