Individual
MS. MARISSA KARRINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4496
(602) 406-3000
Mailing address
750 E NORTHERN AVE UNIT 2051, PHOENIX, AZ 85020-4182
(602) 670-3394
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
241799
AZ
Other
Enumeration date
08/13/2020
Last updated
10/05/2020
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