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Individual

MARCO OLIVER DUGAN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, FNP, PMHNP

Contact information

Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-7730
(415) 476-7320
Mailing address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-7730
(415) 476-7320

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
716471
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
2013001613
CA
163WP2201X
Ambulatory Care Registered Nurse
716471
CA
363L00000X
Nurse Practitioner
95000854
CA
363LF0000X
Family Nurse Practitioner
95000854
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2015009739
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95000845
CA
363LP2300X
Primary Care Nurse Practitioner
95000845
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
716471
CALIFORNIA BOARD OF REGISTERED NURSING RN#
CA
01
75207
CALIFORNIA BOARD OF REGISTERED NURSING PHN#
CA
01
95000854
CALIFORNIA BOARD OF REGISTERED NURSING NP FURNISHING#
CA
Enumeration date
06/18/2014
Last updated
10/04/2024
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