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NPI Code Detail

MEDICARE: MRS. ANGELIQUE R LOPEZ FNP

MEDICARE: MRS. ANGELIQUE R LOPEZ FNP
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
1363LF0000XFamily Nurse PractitionerA189854IA
2363LF0000XFamily Nurse Practitioner71017751AIN
3363LF0000XFamily Nurse Practitioner1229495TX
4363LF0000XFamily Nurse PractitionerAP07257LA
5363L00000XNurse Practitioner4704436510MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528405016
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELIQUE R LOPEZ FNP
Provider Business Mailing Address
First Line : 4401 S CLAIBORNE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-5105
Country : US
Telephone Number : 504-891-7737
Fax Number :
Provider Business Practice Location Address
First Line : 4401 S CLAIBORNE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70125-5105
Country : US
Telephone Number : 225-610-9157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2013
Last Update Date : 04/06/2026

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