Individual
AUDREY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11155 SW 138TH ST, MIAMI, FL 33176-6418
(786) 940-4446
Mailing address
11155 SW 138TH ST, MIAMI, FL 33176-6418
(786) 940-4446
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11045517
FL
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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