Samantha N Lopez, FNP | |
1615 Michigan Ave, Baldwin, MI 49304-7984 | |
(231) 745-4624 | |
(231) 745-4928 |
Full Name | Samantha N Lopez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1615 Michigan Ave, Baldwin, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689368375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704352216 (Michigan) | Primary |
Entity Name | Baldwin Family Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689783698 PECOS PAC ID: 1153215413 Enrollment ID: O20040209001155 |
Mailing Address | Practice Location Address |
---|---|
Samantha N Lopez, FNP 721 E Loomis St, Ludington, MI 49431-2216 Ph: (231) 690-8237 | Samantha N Lopez, FNP 1615 Michigan Ave, Baldwin, MI 49304-7984 Ph: (231) 745-4624 |
Mrs. Lisa Joan West, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-4928 | |
Tracy Lynne Moody, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 | |
Miss Susan Marie Koger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-5031 | |
Cynthia Lucille Sherwood, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Michigan Ave, Baldwin, MI 49304 Phone: 231-745-4624 Fax: 231-745-5031 |