Individual
DR. SUSANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
191 HWY 264, GANADO, AZ 86505
(928) 755-4500
Mailing address
105 BELL RD, BRIDGEPORT, NE 69336-6400
(308) 279-1997
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
326071
AZ
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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