Individual
KEISHA RONNELLE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5309 COMMONWEALTH CENTRE PKWY STE 105, MIDLOTHIAN, VA 23112-2633
(804) 215-6555
Mailing address
11100 STERLING COVE DR, CHESTERFIELD, VA 23838-5158
(804) 482-9400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024193916
VA
Other
Enumeration date
07/17/2025
Last updated
11/11/2025
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