Individual
CARLINA LOPEZ PENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1508 TOMBRAS AVENUE, EAST RIDGE, TN 37412-2720
(423) 867-4969
(423) 867-4971
Mailing address
1508 TOMBRAS AVENUE, EAST RIDGE, TN 37412-2720
(423) 867-4969
(423) 867-4971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10717
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502791
—
TN
05
—
194230287A
—
GA
01
—
4176928
BCBS TENNESSEE
TN
Enumeration date
03/31/2006
Last updated
03/03/2015
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