Mark Dominic Lopez
Nurse Practitioner - Acute Care
5724 Strand Loop Se
Albuquerque
, New Mexico 87106-9606
Mark Dominic Lopez
Nurse Practitioner - Acute Care
5724 Strand Loop Se
Albuquerque
, New Mexico 87106-9606
(505) 681-5497
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mark Dominic Lopez
- 5724 Strand Loop Se
- Albuquerque, NM
- Zip : 87106-9606
- Phone : (505) 681-5497
Second Address
- Mark Dominic Lopez
- 5724 Strand Loop Se
- Albuquerque, NM
- Zip : 87106-9606
- Phone : (505) 681-5497
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 63927 | NM |
National Provider Identifier
| NPI | 1013587401 |
|---|---|
| Provider Name | Mark Dominic Lopez |
| First Address | Albuquerque, NM 87106-9606 |
| Second Address | Albuquerque, NM 87106-9606 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2021 |
| Last Update Date | 28/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.