Individual
MRS. NICOLE LOUISE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8437 KENNEDY AVE, HIGHLAND, IN 46322-1140
(219) 237-2079
Mailing address
PO BOX 365, SCHERERVILLE, IN 46375-0365
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F02200607
IN
363LF0000X
Family Nurse Practitioner
Primary
F02200607
IN
Other
Enumeration date
03/31/2020
Last updated
02/04/2025
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