Provider Demographics
NPI:1609608140
Name:OROPEZA, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:OROPEZA
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 1:30919 W WHITE TANK VIS
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85396-4656
Mailing Address - Country:US
Mailing Address - Phone:623-474-5601
Mailing Address - Fax:
Practice Address - Street 1:30919 W WHITE TANK VIS
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85396-4656
Practice Address - Country:US
Practice Address - Phone:623-474-5601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLP048636164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse