Individual provider · Type 1 NPI
Mason Taylor Lopez, FNP-C
Family Nurse Practitioner · Comstock Park, MI
NPI number
1407627342
Active
Practice location
5320 Rusche Dr NW
Comstock Park, MI 49321-9551
Mailing address
5337 Lawndale Ave
Hudsonville, MI 49426-1231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704341520 (MI) |
Family Nurse Practitioner: Definition to come...
About NPI 1407627342
Mason Taylor Lopez, FNP-C's National Provider Identifier is 1407627342, issued on Jan 10, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Comstock Park, MI. The record was last updated on Jan 10, 2024.