Individual
ERICA PAIGE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, AGPCNP
Contact information
Practice address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(617) 754-5000
Mailing address
69 SHERBURN CIR, WESTON, MA 02493-1050
(781) 801-4867
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2295701
MA
363L00000X
Nurse Practitioner
Primary
RM2295701
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2295701
RN LICENSURE
MA
Enumeration date
04/15/2020
Last updated
03/05/2024
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