Individual
SHANNON LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
2776 S STATE RD, IONIA, MI 48846-8472
(616) 775-7500
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704347607
MI
Other
Enumeration date
06/02/2025
Last updated
08/18/2025
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