Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Rebeca Mata Lopez, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1871010793

Laura Rebeca Mata Lopez, NP is a Nurse Practitioner in Glen Burnie, Maryland. Qualified in 2017, 9 years ago. Practices with Innovative Treatment Centers, a 7-clinician group and accepts Medicare assignment. Licensed in California and Maryland.

Years since qualifying
9
Licensed in
CA, MD
In the registry since
2017
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

325 Hospital Dr Ste 106
Glen Burnie, MD 21061-5806
Phone: (443) 430-2998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95007152 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence R251462 (MD)

Record details

NPI number1871010793
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 23, 2017
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Innovative Treatment Centers — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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