Lopez, Amy Elise

Lopez, Amy Elise is an individual health care provider with primary practice located at 4402 Superstition Dr , Las Cruces NM 88011. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Lopez, Amy Elise can be contacted via phone (575) 621-3390.

Contact Information

Primary practice address
4402 Superstition Dr Las Cruces NM 88011
Phone: (575) 621-3390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CNP-02924 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X CNP-02924 New Mexico

Profile Details

NPI number 1619323284
LBN Legal business name Lopez, Amy Elise
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2016
Last updated Jul 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619323284 NPPES
New Mexico MEDICAID 12431265

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