Individual
BLANCA MARINA LOPEZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8950 SW 74TH CT STE 1906, MIAMI, FL 33156-3178
(305) 842-2283
(305) 503-7338
Mailing address
7179 W 13TH AVE, HIALEAH, FL 33014-4514
(786) 608-3978
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11031917
FL
Other
Enumeration date
05/24/2024
Last updated
02/10/2026
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