Provider Demographics
NPI:1013881952
Name:HERNANDEZ LOPEZ, CHARLOTTE ELAINE (DOULA)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:ELAINE
Last Name:HERNANDEZ LOPEZ
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17645 NE 69TH CT
Mailing Address - Street 2:W 549
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052
Mailing Address - Country:US
Mailing Address - Phone:425-830-1312
Mailing Address - Fax:425-830-1312
Practice Address - Street 1:17645 NE 69TH CT
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-1026
Practice Address - Country:US
Practice Address - Phone:425-830-1312
Practice Address - Fax:425-830-1312
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula