Individual
SHANNON MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
12100 BADGER MOUNTAIN TRL NW, ALBUQUERQUE, NM 87120-5019
(505) 463-5414
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
79351
NM
Other
Enumeration date
07/01/2024
Last updated
05/06/2025
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