Provider Demographics
NPI:1174288294
Name:CASPE, ANNETTE (RN)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:CASPE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:
Other - Last Name:PRONTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3760 E SPRING WHEAT LN
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-0656
Mailing Address - Country:US
Mailing Address - Phone:602-619-1465
Mailing Address - Fax:480-626-9563
Practice Address - Street 1:1386 E BUFFALO ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-8405
Practice Address - Country:US
Practice Address - Phone:480-625-3491
Practice Address - Fax:480-696-4038
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL9824H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility