Individual
SHELBY NICOLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2230 N RIDGE RD, WICHITA, KS 67205-1053
(316) 448-8339
(316) 221-7149
Mailing address
1308 N DENENE ST, WICHITA, KS 67212-4353
(316) 207-9655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53-84721-051
KS
363LS0200X
School Nurse Practitioner
Primary
13-152169-051
KS
Other
Enumeration date
06/20/2023
Last updated
03/09/2026
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