Individual
MARY ELLEN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
531 HARKLE RD STE B, SANTA FE, NM 87505-4753
(505) 954-1459
(505) 780-8578
Mailing address
531 HARKLE RD STE B, SANTA FE, NM 87505-4753
(505) 954-1459
(505) 466-1729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R44765
NM
Other
Enumeration date
03/09/2006
Last updated
03/06/2020
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