Nurse Practitioner, Family
ABCORE FAMILY PRACTICE LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1417348244 · enumerated 2015-02-16 · record updated 2025-12-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. JUAN LOPEZ NP, Manager · (623) 419-2799
Addresses and phones
- Mailing address 6223 N 21ST DR, PHOENIX, AZ, 85015-1902 (623) 419-2799 Fax (602) 358-7649 Google Maps Apple Maps OpenStreetMap
- Practice location 4141 N HERRERA WAY, PHOENIX, AZ, 85012-1814 (623) 419-2799 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License AP7356 AZ
In this directory
Locations and evidence
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Practice location
PHOENIX, AZ, 850121814
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.