Provider Demographics
NPI:1497630248
Name:LOPEZ, PATRICIA NOEMI (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:NOEMI
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 LINCOLN CT
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-6400
Mailing Address - Country:US
Mailing Address - Phone:562-522-0193
Mailing Address - Fax:
Practice Address - Street 1:620 LINCOLN CT
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-6400
Practice Address - Country:US
Practice Address - Phone:562-522-0193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA646557163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty