Provider Demographics
NPI:1346406709
Name:LOPEZ, MARIA C I (RNMSN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:C
Last Name:LOPEZ
Suffix:I
Gender:F
Credentials:RNMSN
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:GUADALUPE
Other - Last Name:CORTEZ
Other - Suffix:II
Other - Last Name Type:Former Name
Other - Credentials:NUN
Mailing Address - Street 1:6016 N 16TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-1802
Mailing Address - Country:US
Mailing Address - Phone:520-302-7447
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:6016 N 16TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-1802
Practice Address - Country:US
Practice Address - Phone:520-302-7447
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN073051163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical