ADRIANA VANESSA NUNEZ LOPEZ


Address: 1031 Waterloo Rd, Stockton, CA 95205-4256
Phone: 2099405600

ADRIANA VANESSA NUNEZ LOPEZ (NPI# 1184192411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184192411
Entity Type Individual
Full Name ADRIANA VANESSA NUNEZ LOPEZ
Credential NP
Practice Address 1031 Waterloo Rd
Stockton
CA 95205-4256
Mailing Address 7210 Murray Dr
Stockton
CA 95210-3339
Practice Telephone 2099405600
Practice Fax Number 2097626808
Enumeration Date 2018-11-05
Last Update Date 2018-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
95009714 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NP LICENSE 95009714 01

Other Providers ADRIANA LOPEZ

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Office Location

Street Address 1031 WATERLOO RD
City STOCKTON
State CA
Zip Code 95205-4256

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609183748 Crystal Thao Social Worker 1031 Waterloo Rd, Stockton, CA 95205-4256 2010-09-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841801081 Telegenx, LLC Durable Medical Equipment & Medical Supplies 127 S Locust St, Stockton, CA 95205 2020-08-12
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1467513549 Stockton Pharmacy Pharmacy 3330 E Main St, Stockton, CA 95205 2006-12-13
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1811493075 Alice Lau Nurse Practitioner 7210 Murray Dr, Stockton, CA 95210-3339 2018-04-04
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1639295660 Anita Quiroz Nurse Practitioner 89 W March Ln, Suite #1, Stockton, CA 95207-5721 2007-03-21
1164548103 Elaine Loth Nurse Practitioner 89 W March Ln, Ste #1, Stockton, CA 95207-5721 2007-03-21

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Competitor

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City STOCKTON
Zip Code 95205

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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