Individual
MS. ANDREA MICHELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
622 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 439-1221
Mailing address
622 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 439-1221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2279596
MA
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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