Mrs Lina L Gandara Lopez, MSN, APRN, FNP | |
611 Sandollar Cv, Patrick Afb, FL 32925-3151 | |
(940) 882-5178 | |
Not Available |
Full Name | Mrs Lina L Gandara Lopez |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 611 Sandollar Cv, Patrick Afb, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790326460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 11004347 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN11004347 (Florida) | Primary |
Entity Name | Steward Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356654495 PECOS PAC ID: 2860688728 Enrollment ID: O20170602001215 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lina L Gandara Lopez, MSN, APRN, FNP 611 Sandollar Cv, Patrick Afb, FL 32925-3151 Ph: (940) 882-5178 | Mrs Lina L Gandara Lopez, MSN, APRN, FNP 611 Sandollar Cv, Patrick Afb, FL 32925-3151 Ph: (940) 882-5178 |
Naquita Jackson Manning, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1381 S Patrick Dr, 45th Medical Group, Patrick Afb, FL 32925 Phone: 678-517-7363 | |
Matthew Parker Padgett, FMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1381 S Patrick Dr, Patrick Afb, FL 32925 Phone: 321-494-8234 | |
Randall S Hicks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1381 S Patrick Dr, Patrick Afb, FL 32925 Phone: 321-494-8423 Fax: 321-494-8334 |