Provider Demographics
NPI:1710600168
Name:LOPEZ, NORA S (RN)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:S
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NORA S LOPEZ, RN
Mailing Address - Street 1:1915 N 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-3383
Mailing Address - Country:US
Mailing Address - Phone:509-543-6795
Mailing Address - Fax:509-546-2837
Practice Address - Street 1:1915 N 22ND AVE
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-3383
Practice Address - Country:US
Practice Address - Phone:509-543-6795
Practice Address - Fax:509-546-2837
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN0017347163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool