Organization
ABCORE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN J LOPEZ NP (MANAGER)
(623) 419-2799
Entity
Organization
Contact information
Practice address
4141 N HERRERA WAY, PHOENIX, AZ 85012-1814
(623) 419-2799
Mailing address
6223 N 21ST DR, PHOENIX, AZ 85015-1902
(623) 419-2799
(602) 358-7649
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7356
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013638
—
AZ
01
—
1326477134
NPI
AZ
Enumeration date
02/16/2015
Last updated
12/09/2025
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