Individual
MARY LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, ARNP
Contact information
Practice address
NE 1125 WASHINGTON ST, WASHINGTON STATE UNIVERSITY, PULLMAN, WA 99164-0001
(509) 335-3575
Mailing address
PO BOX 642302, PULLMAN, WA 99164-2302
(509) 335-3575
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30000707
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9607516
—
WA
Enumeration date
02/10/2006
Last updated
07/08/2007
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