Individual ProviderLinda K LopezRegistered NurseNursing Service ProvidersPractice Address4212 N 16th St, Phoenix, AZ 85016-5319(602) 263-1623PECOS EnrollmentBased on the most recent information from CMS, provider Linda K Lopez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063578755Provider TypeIndividualFull NameLopez, Linda KCredentialRNGenderFemaleSole ProprietorNoEnumeration Date12/28/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4212 N 16th St, Phoenix, AZ 85016-5319Phone(602) 263-1623FaxUnlisted FaxMailing LocationMailing Address4212 N 16th St, Phoenix, AZ 85016-5319Phone(602) 263-1623FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN051811Arizona