Doctor Name: | YILLIAM LOPEZ DEL BOSQUE |
NPI Number: | 1750779450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | A0714002 |
Business Practice Address: | 6803 Boulevard East Apt 35 Guttenberg, NJ - 070934510 |
Business Phone Number: | 5516558891 |
Business Fax Number: | |
Mailing Address: | 6803 Boulevard East Apt 35, GUTTENBERG |
State: | NJ |
Postal Code: | 070934510 |
Phone Number: | 5516558891 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2015 |
NPI Last Update Date: | 01/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | A0714002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |