MEDICARE: NATALIA 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
1	163W00000X	Registered Nurse	1024377	TX

General Provider Information

NPI Number	:	1760314165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIA LOPEZ RN

Provider Business Mailing Address
First Line	:	9801 STONELAKE BLVD APT 1016
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-6579
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 DAVIS LN STE 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78749-4031
Country	:	US
Telephone Number	:	512-324-9290
Fax Number	:	512-324-9291

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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