Provider Demographics
NPI:1740940519
Name:LOPES, ELENI MAGDALENA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ELENI
Middle Name:MAGDALENA
Last Name:LOPES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:ELENI
Other - Middle Name:MAGDALENA
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:83 MAIN ST APT 4
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2835
Mailing Address - Country:US
Mailing Address - Phone:207-272-0436
Mailing Address - Fax:
Practice Address - Street 1:44 BIRCH ST STE 200
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1591
Practice Address - Country:US
Practice Address - Phone:603-421-2526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-21
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH086139-21363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner