Gandara Lopez, Lina L

Gandara Lopez, Lina L is an individual health care provider with primary practice located at 611 Sandollar Cv , Patrick Afb FL 32925-3151. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gandara Lopez, Lina L can be contacted via phone (940) 882-5178.

Contact Information

Primary practice address
611 Sandollar Cv Patrick Afb FL 32925-3151
Phone: (940) 882-5178
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11004347 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11004347 Florida

Profile Details

NPI number 1790326460
LBN Legal business name Gandara Lopez, Lina L
Credentials MSN, APRN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2019
Last updated May 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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