Sueanny Tamara Lopez, CRNA | |
525 N Wolfe St, Baltimore, MD 21205-2110 | |
(410) 955-4766 | |
Not Available |
Full Name | Sueanny Tamara Lopez |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 525 N Wolfe St, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659942431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WS0200X | Registered Nurse - School | R248091 (Maryland) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 143865 (New Jersey) | Primary |
Entity Name | New Jersey Healthcare Specialists Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174585780 PECOS PAC ID: 2668385253 Enrollment ID: O20031110000555 |
Mailing Address | Practice Location Address |
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Sueanny Tamara Lopez, CRNA 525 N Wolfe St, Baltimore, MD 21205-2110 Ph: (410) 955-4766 | Sueanny Tamara Lopez, CRNA 525 N Wolfe St, Baltimore, MD 21205-2110 Ph: (410) 955-4766 |
Ms. Jennifer Renee Pease Moreno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Jhu 600 N Wolfe St, Dept Anesthesia Critical Care Medicine- Blalock 14th Fl, Baltimore, MD 21287 Phone: 410-955-4552 | |
Kristen Marll, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-5209 | |
Mrs. Victoria Volta Manger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 S Caton Ave, Baltimore, MD 21229 Phone: 667-234-3045 | |
Duncan Mcelfresh, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2401 W Belvedere Ave, Anesthesia Department, Baltimore, MD 21215 Phone: 410-601-5209 Fax: 410-601-9744 | |
Mr. Michael W Hoban, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Saint Paul St, Baltimore, MD 21202 Phone: 410-332-9375 | |
Mrs. Dama Reter Yekeson-koffa, RN, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Ave, Anesthesia Department Bayview Medical Center, Baltimore, MD 21224 Phone: 443-694-8960 Fax: 410-356-5821 | |
Kelly Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-8667 |