Individual
EDNA L LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-2517
(505) 227-9032
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 262-7000
(505) 323-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R20246
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70516
—
NM
Enumeration date
07/10/2006
Last updated
01/10/2017
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