Individual
GRACIELA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
420 N WEST END ST, SPRINGDALE, AR 72764-3002
(479) 872-3050
(479) 751-2878
Mailing address
1222 S 4TH ST, ROGERS, AR 72756-5420
(479) 657-5222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120468
AR
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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