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

MS. Providencia Lopez, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1336175413

MS. Providencia Lopez, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Mount Holly, New Jersey. Qualified in 2004, 22 years ago. Practices with Delaware Anesthesia Associates PA, a 34-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
22
Licensed in
NJ
In the registry since
2006
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone: (609) 261-1660
Fax: (609) 261-4454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26NJ00231500 (NJ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 26NR11832500 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 26NR11832500 (NJ)

Record details

NPI number1336175413
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJune 20, 2014

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Delaware Anesthesia Associates Pa — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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