Individual
BERNADETTE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9629 PHILTA WAY, ELK GROVE, CA 95757-6201
(661) 330-9429
Mailing address
9629 PHILTA WAY, ELK GROVE, CA 95757-6201
(661) 330-9429
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95034994
CA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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