Individual
ALESSA L LOPEZ-CASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6330 31ST AVE NE STE 101, TULALIP, WA 98271-7423
(360) 716-2200
(360) 716-2211
Mailing address
6330 31ST AVE NE STE 101, TULALIP, WA 98271-7423
(360) 716-2200
(360) 716-2211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60420859
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010152176
BLUE SHIELD
ID
05
—
2035703
—
WA
05
—
80693310
—
ID
01
—
NPWF1
BLUE CROSS
ID
Enumeration date
06/28/2006
Last updated
07/18/2023
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