Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 21613 | AZ |
N | 111NI0900X | Internist | 21613 | AZ |
Y | 207RH0002X | Hospice and Palliative Medicine | 21613 | AZ |
NPI | 1043264633 |
---|---|
Provider Name | Dr. Jeanne Notto Elnadry |
First Address | Yuma, AZ 85364-8341 |
Second Address | Yuma, AZ 85364-8341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 23/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D73894 | (02) | AZ |