Individual provider · Type 1 NPI

Perla Cornelio Lopez, FNP-C

Family Nurse Practitioner · Tyler, TX

NPI number 1780169300 Active

Practice location

2990 N Broadway Ave
Tyler, TX 75702-2149

Fax (903) 592-3886

Mailing address

301 E Elm St
Tyler, TX 75702-7408

Other practice locations

  • 520 Douglas Blvd, Tyler, TX 75702-8307 · (903) 606-1721

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP139541 (TX)
Family Nurse Practitioner 363LF0000X824208 (TX)
Family Nurse Practitioner Primary 363LF0000XAP139541 (TX)

Family Nurse Practitioner: Definition to come...

17 other providers at this address

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About NPI 1780169300

Perla Cornelio Lopez, FNP-C's National Provider Identifier is 1780169300, issued on Sep 28, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Aug 15, 2023.