Provider Demographics
NPI:1932995818
Name:LOPEZ, ALBERTO (APRN)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8882 DWARF CHIN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-5720
Mailing Address - Country:US
Mailing Address - Phone:502-389-6449
Mailing Address - Fax:
Practice Address - Street 1:1820 E LAKE MEAD BLVD STE M
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-7134
Practice Address - Country:US
Practice Address - Phone:702-475-4352
Practice Address - Fax:702-960-5376
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV861533363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily