Lopez, Marissa Ann

Lopez, Marissa Ann is an individual health care provider with primary practice located at 500 W Votaw St Ste A , Portland IN 47371-1322. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lopez, Marissa Ann can be contacted via phone (260) 726-4350.

Contact Information

Primary practice address
500 W Votaw St Ste A Portland IN 47371-1322
Phone: (260) 726-4350
Fax: (260) 726-9340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28212155A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71012622A Indiana

Profile Details

NPI number 1669117370
LBN Legal business name Lopez, Marissa Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2022
Last updated Jun 28th, 2022 - about 4 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.

Request for update

Popular Providers