Individual
DR. AMY ELISE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
4402 SUPERSTITION DR, LAS CRUCES, NM 88011
(575) 621-3390
Mailing address
4402 SUPERSTITION DR, LAS CRUCES, NM 88011-7503
(575) 621-3390
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
CNP-02924
NM
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP-02924
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12431265
—
NM
Enumeration date
05/12/2016
Last updated
07/30/2021
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