Individual
MARY E. LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Mailing address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
15851
WI
363L00000X
Nurse Practitioner
Primary
326072
AZ
363L00000X
Nurse Practitioner
71004898A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290565
—
WI
Enumeration date
04/16/2014
Last updated
08/15/2025
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