Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 48024 | AZ |
N | 111NI0900X | Internist | 48024 | AZ |
Y | 207RH0002X | Hospice and Palliative Medicine | 48024 | AZ |
N | 208000000X | Pediatrician | 48024 | AZ |
NPI | 1285928721 |
---|---|
Provider Name | Mrs. Nathalie Tania Petein-Alamshaw |
First Address | Glendale, AZ 85306-4622 |
Second Address | Glendale, AZ 85306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2011 |
Last Update Date | 17/03/2018 |