Individual
CARLA J LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5090 N 40TH ST, STE 250, PHOENIX, AZ 85018-2111
(602) 258-3354
(602) 258-3368
Mailing address
5090 N 40TH ST, STE 250, PHOENIX, AZ 85018-2111
(602) 258-3354
(602) 258-3368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1340
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626426
—
AZ
Enumeration date
03/22/2006
Last updated
10/23/2012
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