MARISSA ANN LOPEZ NP NPI 1669117370

NPI Information

  • NPI: 1669117370
  • Provider Name: MARISSA ANN LOPEZ, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 W VOTAW ST STE A
    PORTLAND, IN
    ZIP 47371
  • Phone: (260) 726-4350

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NPI Details

Marissa Ann Lopez, NP is a family nurse practitioner in Portland, IN with 5 years of experience. Marissa Ann Lopez, NP NPI is 1669117370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 W VOTAW ST STE A
PORTLAND, IN
ZIP 47371-322
Phone: (260) 726-4350
Fax: (260) 726-9340

The NPI 1669117370 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/28/2022 and was last updated on 6/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily71012622AINDIANAYes
2163W00000XRegistered Nurse28212155AINDIANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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