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General NPI Number Information
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NPI Number | 1922866060
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Entity Type | Individual
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Provider Name | ROSALIND LOPEZ PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 2415 E CAMELBACK RD STE 700
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City | PHOENIX
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State | AZ
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Zip | 85016-4245
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Country | US
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Telephone | 888-279-0002
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Fax | 833-638-0302
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Provider Business Mailing Address
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Address Line | 1300 PONCE DE LEON BLVD APT 814
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City | CORAL GABLES
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State | FL
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Zip | 33134-3363
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Country | US
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Telephone | 305-942-0281
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 312928
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9253812
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License Number State | FL
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