Individual
VANESSA ROSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
21097 NE 27TH CT STE 540, AVENTURA, FL 33180-1235
(305) 933-9440
Mailing address
16413 NW 21ST ST, PEMBROKE PINES, FL 33028-1754
(954) 870-9533
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11030435
FL
Other
Enumeration date
01/23/2024
Last updated
08/20/2024
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