Individual
MS. CAROLINE MERCEDES LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10240 W INDIAN SCHOOL RD, PHOENIX, AZ 85037-5904
(623) 385-7900
Mailing address
PO BOX 2094, EL MIRAGE, AZ 85335-2094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
288292
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
288292
ARIZONA STATE BOARD OF NURSING
AZ
Enumeration date
02/27/2023
Last updated
02/27/2023
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