Lopez Agueda, Ivette

Lopez Agueda, Ivette is an individual health care provider with primary practice located at 2301 Erwin Rd # Dumc3094 , Durham NC 27705-4699. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lopez Agueda, Ivette can be contacted via phone (919) 668-0289.

Contact Information

Primary practice address
2301 Erwin Rd # Dumc3094 Durham NC 27705-4699
Phone: (919) 668-0289
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 79915 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 207539 North Carolina

Profile Details

NPI number 1699737411
LBN Legal business name Lopez Agueda, Ivette
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699737411 NPPES
North Carolina MEDICAID 8052596

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