Individual
VERONICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 MEDICAL ARTS AVE NE, BUILDING 2, ALBUQUERQUE, NM 87102-2706
(505) 272-6110
(505) 272-6112
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-02689
NM
Other
Enumeration date
06/11/2015
Last updated
03/26/2019
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