Provider Demographics
NPI:1093559213
Name:LOPEZ, ERIKA DENISE (NNP-BC)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:DENISE
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13207 EMERALD ISLE ST
Mailing Address - Street 2:
Mailing Address - City:HORIZON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79928-2519
Mailing Address - Country:US
Mailing Address - Phone:915-256-7132
Mailing Address - Fax:
Practice Address - Street 1:13207 EMERALD ISLE ST
Practice Address - Street 2:
Practice Address - City:HORIZON CITY
Practice Address - State:TX
Practice Address - Zip Code:79928-2519
Practice Address - Country:US
Practice Address - Phone:915-256-7132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX815627163WN0002X
TX1175515363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care