Individual
EVELYN C LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
96 POMPTON AVE STE 101, VERONA, NJ 07044-2950
(862) 292-2001
(833) 606-0228
Mailing address
221 CRESCENT ST STE 202, WALTHAM, MA 02453-3425
(781) 487-1107
(919) 765-8657
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NR19243700
NJ
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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