Individual
DR. TANEICOLE MICHELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
910 NEWCROFT AVE, CAPITOL HEIGHTS, MD 20743-3264
(678) 515-6394
Mailing address
910 NEWCROFT AVE, CAPITOL HEIGHTS, MD 20743-3264
(678) 515-6394
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185419
VA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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