Individual
BIANCA YVONNE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
11860 VISTA DEL SOL DR STE 107, EL PASO, TX 79936-6128
(915) 233-6200
(915) 621-1339
Mailing address
1605 GEORGE DIETER DR STE 636, EL PASO, TX 79936-5692
(915) 671-1371
(915) 219-9022
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
AP10600
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP142297
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP142297
BOARD OF NURSING
TX
Enumeration date
09/21/2017
Last updated
02/08/2024
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