| Doctor Name: | MRS. TONYA NATALIE LOPEZ |
| NPI Number: | 1487093340 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | CNP-02205 |
| Business Practice Address: | 1202 Highway 60 Socorro, NM - 878013914 |
| Business Phone Number: | 5056101422 |
| Business Fax Number: | |
| Mailing Address: | 52 Mockingbird Ln, SOCORRO |
| State: | NM |
| Postal Code: | 878015117 |
| Phone Number: | 5056101422 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2013 |
| NPI Last Update Date: | 06/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CNP-02205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |