Individual
JANNETTE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
323 CROMWELL AVENUE, ROCKY HILL, CT 06067
(860) 563-9393
Mailing address
52 HOSKINS RD, SIMSBURY, CT 06070-1306
(203) 887-5762
(860) 352-2006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002787
CT
363LF0000X
Family Nurse Practitioner
Primary
002787
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004228202
—
CT
01
—
400002787CT01
BCBS
CT
Enumeration date
07/24/2006
Last updated
02/01/2013
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