Individual
EMILY RAE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5980 S COOPER RD, CHANDLER, AZ 85249-5394
(480) 704-3474
Mailing address
1854 S BEVERLY, MESA, AZ 85210-5981
(160) 269-2893
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
260247
AZ
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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