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NPI Code Detail

MEDICARE: KATHE CLAIRE LOPEZ FNP-BC

MEDICARE:   KATHE CLAIRE LOPEZ  FNP-BC
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
1163W00000XRegistered Nurse2449782MN
2363L00000XNurse Practitioner10561MN
3363L00000XNurse PractitionerAPRN11034453FL

General Provider Information

NPI Number : 1285312454
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHE CLAIRE LOPEZ FNP-BC
Provider Business Mailing Address
First Line : PO BOX 860912
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55486-0912
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 4500 SAN PABLO RD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-1865
Country : US
Telephone Number : 904-953-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2023
Last Update Date : 02/11/2026

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Directions to “ KATHE CLAIRE LOPEZ FNP-BC” Practice Location

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