Individual
GRETA LIZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC,PMHNP
Contact information
Practice address
1835 N MASTICK WAY, NOGALES, AZ 85621-1064
(520) 375-5000
(520) 281-4487
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-2385
(520) 761-2133
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP7606
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP7606
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983514
—
AZ
Enumeration date
01/08/2015
Last updated
04/01/2025
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