Carlina Lopez Pendon in East Ridge - Family

Carlina Lopez Pendon - NPI 1831150549

Carlina Lopez Pendon is a Family in East Ridge, Tennessee. Carlina Lopez Pendon practices all healthcare services and medical treatments related to Family. The NPI Number for Carlina Lopez Pendon is 1831150549. The last update date is 2015-03-03.

Carlina Lopez Pendon's current location address is 1508 Tombras Avenue, East Ridge, Tennessee. You can contact this provider via phone number 4238674969 and fax number 4238674971. The mailing address for Carlina Lopez Pendon is 1508 Tombras Avenue, East Ridge, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Carlina Lopez Pendon
Address 1508 Tombras Avenue, East Ridge, Tennessee
Phone Number 4238674969
Fax Number 4238674971
Sole Proprietor N
Credentials FNP-C

NPI Number Detail

NPI Number 1831150549
Provider Enumeration Date 2006-03-31
Last Updated Date 2015-03-03

Provider Mailing Address Detail

Address 1508 Tombras Avenue
City East Ridge
State Tennessee (TN)
Post Code 374122720
Phone Number 4238674969
Fax Number 4238674971

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 10717
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1502791 TN --
194230287A GA --
4176928 TN BCBS TENNESSEE

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FAQs about Carlina Lopez Pendon

What is the unique identifier code issued to Carlina Lopez Pendon by the Centers for Medicare & Medicaid Services?

The Carlina Lopez Pendon has been assigned the NPI (National Provider Identifier) 1831150549. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Carlina Lopez Pendon?

The Carlina Lopez Pendon is situated at 1508 Tombras Avenue, in the city of East Ridge, state of TN, with the zip code 374122720.

What is Carlina Lopez Pendon's area of expertise and its corresponding taxonomy classification?

The Carlina Lopez Pendon's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.

When did Carlina Lopez Pendon receive its 1831150549 assignment?

The Carlina Lopez Pendon was assigned its 1831150549 on 2006-03-31, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Carlina Lopez Pendon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Carlina Lopez Pendon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-03.

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