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NPI Code Detail

MEDICARE: EMILY ELENA LOPEZ RN

MEDICARE: EMILY ELENA LOPEZ RN
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
1163WP0200XPediatric Registered Nurse10863375-3102UT

General Provider Information

NPI Number : 1578305504
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ELENA LOPEZ RN
Provider Business Mailing Address
First Line : 1233 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0127
Country : US
Telephone Number : 801-513-9288
Fax Number :
Provider Business Practice Location Address
First Line : 1233 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0127
Country : US
Telephone Number : 406-657-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2024
Last Update Date : 06/09/2026

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