CHARISSA ANYEL LOPEZ PMHNP NPI 1750788584

NPI Information

NPI: 1750788584
Provider Name: CHARISSA ANYEL LOPEZ, PMHNP
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1255 W BASELINE RD STE 138
MESA, AZ
ZIP 85202
Phone: (480) 820-5422
Get Directions

Charissa Anyel Lopez, PMHNP is a psychiatric/mental health registered nurse in Mesa, AZ. Charissa Anyel Lopez, PMHNP NPI is 1750788584. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1255 W BASELINE RD STE 138
MESA, AZ
ZIP 85202-821
Phone: (480) 820-5422
Fax: (480) 775-4938

The enumeration date for this NPI number is 11/21/2014 and was last updated on 11/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	AP7463	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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