Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | AP8168 | AZ |
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP8168 | AZ |
NPI | 1023489192 |
---|---|
Provider Name | Mrs. Janine Hope Altobelli |
First Address | Scottsdale, AZ 85257-3135 |
Second Address | Mesa, AZ 85207-3759 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2015 |
Last Update Date | 12/06/2019 |