Healthcare Provider Details

I. General information

NPI: 1942116652
Provider Name (Legal Business Name): LIZ ARLETH HERNANDEZ - LOPEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14886 US HIGHWAY 17
HAMPSTEAD NC
28443-3217
US

IV. Provider business mailing address

14886 US HIGHWAY 17
HAMPSTEAD NC
28443-3217
US

V. Phone/Fax

Practice location:
  • Phone: 910-746-7187
  • Fax: 180-087-8171
Mailing address:
  • Phone: 910-746-7187
  • Fax: 180-087-8171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: