Provider Demographics
NPI:1639553548
Name:ROCKS-LOPEZ, CHRISTINE
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ROCKS-LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10240 W INDIAN SCHOOL RD STE 155
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-5909
Mailing Address - Country:US
Mailing Address - Phone:623-385-7900
Mailing Address - Fax:623-792-1232
Practice Address - Street 1:10240 W INDIAN SCHOOL RD STE 155
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-5909
Practice Address - Country:US
Practice Address - Phone:623-385-7900
Practice Address - Fax:623-792-1232
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7820363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care