Andrea Michaelena Lopez


Address: 153 E High St, Providence Integrative Health and Wellness, Elkton, MD 21921-5650
Phone: 4106563017

Andrea Michaelena Lopez (NPI# 1619301363, PAC ID# 7517195530) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1619301363
PAC ID by PECOS 7517195530
Professional Enrollment ID I20190211000440
Full Name Andrea Michaelena Lopez
Address 153 E High St
Providence Integrative Health and Wellness
Elkton
MD 21921-5650
Phone Number 4106563017
Gender F
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
153 E High St, Providence Integrative Health and Wellness, Elkton, MD 21921-5650 4106563017

Organization Information

Office Location

Street Address 153 E HIGH ST
PROVIDENCE INTEGRATIVE HEALTH AND WELLNESS
City ELKTON
State MD
Zip 21921-5650

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Competitor

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City ELKTON
Zip Code 21921
Specialty NURSE PRACTITIONER
City + Specialty ELKTON + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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