Individual
DR. GENESIS VIEYRA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC
Contact information
Practice address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3-002941
AL
363L00000X
Nurse Practitioner
Primary
9344025
FL
363L00000X
Nurse Practitioner
GAA-NP005016C
GA
363LG0600X
Gerontology Nurse Practitioner
APRN9344025
FL
Other
Enumeration date
07/13/2019
Last updated
07/30/2026
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