Individual
MRS. TINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
1210 BRACE RD STE 103, CHERRY HILL, NJ 08034-3213
(856) 536-1515
(856) 536-1983
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00483000
NJ
Other
Enumeration date
01/27/2014
Last updated
12/02/2023
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