Individual
MS. ERIN NICOLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15237 CREATIVITY DR, CULPEPER, VA 22701-2504
(540) 321-4281
Mailing address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006316
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110006316
VIRGINIA LICENSE
VA
Enumeration date
07/13/2018
Last updated
12/24/2024
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