Provider Demographics
NPI:1760006282
Name:PARSONS LOPEZ, CHARIZA (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:CHARIZA
Middle Name:
Last Name:PARSONS LOPEZ
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 NW 51ST ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-6182
Mailing Address - Country:US
Mailing Address - Phone:831-229-7132
Mailing Address - Fax:312-586-7980
Practice Address - Street 1:3404 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-2409
Practice Address - Country:US
Practice Address - Phone:352-373-2507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-01
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11007594363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily