MEDICARE: MS. MARVELYS LOPEZ CPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife

General Provider Information

NPI Number	:	1386832319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARVELYS LOPEZ CPM

Provider Business Mailing Address
First Line	:	5610 TURKEY LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2951
Country	:	US
Telephone Number	:	702-349-2135
Fax Number	:

Provider Business Practice Location Address
First Line	:	5610 TURKEY LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-2951
Country	:	US
Telephone Number	:	702-349-2135
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2007
Last Update Date	:	03/04/2016

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Directions to “ MS. MARVELYS LOPEZ CPM” Practice Location

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