Individual
MRS. DANETTE LOPEZ-NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP C
Contact information
Practice address
1001 E OSCEOLA PKWY STE 3200, KISSIMMEE, FL 34744-1616
(321) 841-6444
(407) 370-5820
Mailing address
1001 E OSCEOLA PKWY STE 3200, KISSIMMEE, FL 34744-1616
(321) 841-6444
(407) 370-5820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
ARNP9231152
FL
207Q00000X
Family Medicine Physician
ARNP9231152
FL
207R00000X
Internal Medicine Physician
ARNP9231152
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9231152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121783000
—
FL
05
—
307160000
—
FL
Enumeration date
08/21/2006
Last updated
04/15/2024
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