Individual provider · Type 1 NPI
Marilyn Grace Lopez, NP
Pediatric Nurse Practitioner · Stanford, CA
NPI number
1972734366
Active
Practice location
300 Pasteur Dr, Sumc - Peds Physician Billing Mc: 5530
Stanford, CA 94305-2200
Fax (650) 725-7888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | NP15491 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1972734366
Marilyn Grace Lopez, NP's National Provider Identifier is 1972734366, issued on Aug 3, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Stanford, CA. The record was last updated on Aug 3, 2009.