Individual
MISSY DIEM-ASHLEY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 956-4525
Mailing address
6109 GOLDENROD DR, DENTON, TX 76208-6803
(940) 447-4874
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1123845
TX
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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