| Dr Taneicole Michelle Lopez, DNP, APRN, FNP-C | |
|
910 Newcroft Ave, Capitol Heights, MD 20743-3264 | |
| (678) 515-6394 | |
| Not Available |
| Full Name | Dr Taneicole Michelle Lopez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 910 Newcroft Ave, Capitol Heights, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649994518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024185419 (Virginia) | Primary |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383 |
| Entity Name | Nurse Practitioner Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780121277 PECOS PAC ID: 6002230778 Enrollment ID: O20230216001673 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Taneicole Michelle Lopez, DNP, APRN, FNP-C 910 Newcroft Ave, Capitol Heights, MD 20743-3264 Ph: (678) 515-6394 | Dr Taneicole Michelle Lopez, DNP, APRN, FNP-C 910 Newcroft Ave, Capitol Heights, MD 20743-3264 Ph: (678) 515-6394 |
Allanna D Webb, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1458 Addison Rd S, Capitol Heights, MD 20743 Phone: 301-324-1500 Fax: 301-324-6405 | |
Debra S Apperson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1458 Addison Rd S, Capitol Heights, MD 20743 Phone: 301-324-1500 Fax: 301-324-6405 | |
Alexis Mcleod, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1442 Addison Rd S, Capitol Heights, MD 20743 Phone: 301-888-2233 |