Individual
RUTH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL ADULT PRIMARY CARE, HARTFORD, CT 06102
(860) 545-0200
Mailing address
80 PHOENIX AVE, STE 201, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
002807
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001028072
—
CT
Enumeration date
10/13/2006
Last updated
11/04/2016
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