Individual
BREANNA ANGELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(631) 418-8069
Mailing address
59 SOUTHERN BLVD, NESCONSET, NY 11767-1090
(631) 418-8069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
847721
NY
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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