Individual
AMBER NICOLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 ELM ST NE, ALBUQUERQUE, NM 87102-3672
(505) 242-1010
Mailing address
239 ELM ST NE, ALBUQUERQUE, NM 87102-3672
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
172V00000X
Community Health Worker
—
NM
Other
Enumeration date
07/13/2022
Last updated
04/18/2023
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