Lopez, Krystal

Lopez, Krystal is an individual health care provider with primary practice located at 3661 S Babcock St Fl 2 , Melbourne FL 32901-8205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lopez, Krystal can be contacted via phone (321) 434-7611.

Contact Information

Primary practice address
3661 S Babcock St Fl 2 Melbourne FL 32901-8205
Phone: (321) 434-7611
Fax: (321) 727-3738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9314840 Florida

Profile Details

NPI number 1679013486
LBN Legal business name Lopez, Krystal
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2017
Last updated Jul 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679013486 NPPES
Florida Other KN043 MEDICARE
Florida MEDICAID 101310900 MEDICARE

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