Individual
MAR REMEDIOS SCHUPP-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM WHNP RN
Contact information
Practice address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Mailing address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95174488
CA
363LW0102X
Women's Health Nurse Practitioner
95016119
CA
367A00000X
Advanced Practice Midwife
Primary
236165
CA
Other
Enumeration date
03/05/2021
Last updated
08/25/2024
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