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Cassondra Rose Lopez, FNP
Family Nurse Practitioner in Vista, California
NPI 1346593241

Cassondra Rose Lopez is a Family Nurse Practitioner based in San Diego, CA and is specialized in Family. Cassondra Rose Lopez practices in Vista, CA and has the professional credentials of FNP. The NPI Number for Cassondra Rose Lopez is 1346593241 and holds a License No. 21043 (California).

The current practice location address for Cassondra Rose Lopez is 1237 Green Oak Rd, Vista, CA and can be reached out via phone at 951-306-6514.

Location: 1237 Green Oak Rd, Vista, CA, 92115-3501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346593241
Provider Name
Cassondra Rose Lopez
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1237 Green Oak Rd, Vista, CA, 92115-3501
Phone Number
951-306-6514
Fax Number
Provider Enumeration Date
10/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
519423 01 CA MEDI-CAL DOCUMENT NUMBER
institution
Provider Business Practice Location Address Details
Address
1237 Green Oak Rd
City
Vista
State
California
Zip
92081
Phone Number
951-306-6514
Fax Number
person
Provider Business Mailing Address Details
Address
1237 Green Oak Rd
City
Vista
State
California
Zip
92081
Phone Number
951-306-6514
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
21043 (California)
Definition
Definition to come...
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