Provider Demographics
NPI:1023489192
Name:ALTOBELLI, JANINE HOPE (AGNP-C)
Entity type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:HOPE
Last Name:ALTOBELLI
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6730 E MCDOWELL RD STE 139
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-3135
Mailing Address - Country:US
Mailing Address - Phone:480-530-0230
Mailing Address - Fax:480-530-0231
Practice Address - Street 1:6840 E BROWN RD STE 101
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-3759
Practice Address - Country:US
Practice Address - Phone:480-285-2150
Practice Address - Fax:480-285-2151
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZAP8168363LA2200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health