Individual provider · NPI-1

Laureen Lopez Berry, FNP

Nurse Practitioner, Family · Ventura, CA

NPI number1124496203
StatusActive
Last updated in NPPESDec 2, 2015

Details

NPI
1124496203
Entity type
Individual (NPI-1)
Name
Laureen Lopez Berry
Credential
FNP
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 8, 2015
Last updated
Dec 2, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95003486CAYes

Other names

  • Laureen Riza Lopez Berry (Former Name)

Practice location

200 S Wells Rd
Ventura, CA 93004-1377

Phone 805-647-6353

Mailing address

1624 Ocean Dr
Oxnard, CA 93035-4562

Phone 805-616-0606

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