Individual
KIMBERLY M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-4425
Mailing address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-4425
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-03080
NM
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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