Individual
AMANDA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 S MASON ST, FORT COLLINS, CO 80525-3740
(970) 266-3600
(970) 266-3606
Mailing address
435 CEDAR AVE, EATON, CO 80615-3620
(970) 266-3600
(970) 266-3606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1648901
CO
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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