Individual
ADRIANA VANESSA NUNEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1031 WATERLOO RD, STOCKTON, CA 95205-4256
(209) 940-5600
(209) 762-6808
Mailing address
7210 MURRAY DR, STOCKTON, CA 95210-3339
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95009714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95009714
NP LICENSE
CA
Enumeration date
11/05/2018
Last updated
11/05/2018
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