Individual
AMANDA MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9093 ELK GROVE BLVD STE 100, ELK GROVE, CA 95624-2047
(916) 937-3094
Mailing address
9727 ELK GROVE FLORIN RD STE 120, ELK GROVE, CA 95624-2291
(575) 635-0935
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95028171
CA
Other
Enumeration date
11/29/2023
Last updated
05/12/2025
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