Individual provider · Type 1 NPI
Stephanie Antionette Joy Lopez
Community Health Registered Nurse · Gwynn Oak, MD
NPI number
1760716153
Active
Practice location
1811 Woodlawn Dr.
Gwynn Oak, MD 21207-4043
Fax (410) 887-1386
Mailing address
11 N Eutaw St, Apt. 624
Baltimore, MD 21201-1765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | R185356 (MD) |
Community Health Registered Nurse: Definition to come...
About NPI 1760716153
Stephanie Antionette Joy Lopez's National Provider Identifier is 1760716153, issued on Oct 1, 2009. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Gwynn Oak, MD. The record was last updated on Oct 1, 2009.