Individual
DR. RENEE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(480) 728-3000
Mailing address
PO BOX 6995, CHANDLER, AZ 85246-6995
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
230113
AZ
363LA2200X
Adult Health Nurse Practitioner
230113
AZ
363LG0600X
Gerontology Nurse Practitioner
230113
AZ
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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