Individual
ANDREA LOPEZ-RODARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
781 MILL ST, RENO, NV 89502-1320
(775) 398-1981
Mailing address
PO BOX 511360, LOS ANGELES, CA 90051-7915
(775) 398-1981
(775) 398-1984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2365
NV
363AM0700X
Medical Physician Assistant
Primary
PA2365
NV
Other
Enumeration date
04/20/2021
Last updated
04/20/2026
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