Individual
ELIZABETH ANN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
925 E POLSTON AVE, POST FALLS, ID 83854-9049
(208) 620-5250
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 414-0299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
504941
CA
363LF0000X
Family Nurse Practitioner
Primary
3971984
ID
363LF0000X
Family Nurse Practitioner
NP 17413
CA
Other
Enumeration date
09/13/2007
Last updated
01/15/2026
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