Individual
MR. NATHAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA, APRN
Contact information
Practice address
7702 S DESOTO ST, TAMPA, FL 33616-0001
(469) 964-4618
Mailing address
7702 S DESOTO ST, TAMPA, FL 33616-0001
(469) 964-4618
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9401226
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11019592
FL
Other
Enumeration date
02/08/2022
Last updated
05/20/2022
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