Individual
ELAINA GABRIELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
333 S MADISON ST, MUNCIE, IN 47305-2465
(765) 286-7000
Mailing address
12460 BREAKLINES ST APT 406, CARMEL, IN 46032-7664
(317) 481-1103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010620A
IN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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