Individual
KARI M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
512 E ELM ST, CALDWELL, ID 83605-4871
(208) 468-5925
(208) 468-5926
Mailing address
215 E HAWAII AVE, NAMPA, ID 83686-6011
(208) 463-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-876A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8081544
—
ID
Enumeration date
08/05/2008
Last updated
09/18/2023
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