Individual provider · Type 1 NPI
Nicole R. Lopez
Family Nurse Practitioner · Braidwood, IL
NPI number
1215856695
Active
Practice location
389 E Main St
Braidwood, IL 60408-2010
Mailing address
725 School St Ste A
Morris, IL 60450-1207
Other practice locations
- 150 W High St, Morris, IL 60450-1463 · (815) 942-2932
- 101 S Prairie Ave, Dwight, IL 60420-1350 · (815) 584-3291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.035840 (IL) |
| Primary Care Nurse Practitioner | 363LP2300X | 209.035840 (IL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1215856695
Nicole R. Lopez's National Provider Identifier is 1215856695, issued on Jul 10, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Braidwood, IL. The record was last updated on Aug 12, 2026.