Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIO ELENO DE CASTRO CORDERO III, FNP-C
Active Sole ProprietorFamily Nurse Practitioner · SAN TAN VALLEY, AZ
Registration Details
- NPI Number
- 1942559323
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2012 (13.649189007688 yrs)
- Last Updated
- May 29, 2019
- License
-
F0812566 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
287 E HUNT HWYSUITE 105SAN TAN VALLEY, AZ, 851435095Browse AZ providers · Browse ZIP 85143
- Phone
- 4806778282
- Fax
- 4805350962
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in SAN TAN VALLEY, AZ
| Name | Credential | NPI |
|---|---|---|
| VICKIE CLOUS | FNP | 1588681324 |
| LAURA BABB | NP | 1013005651 |
| MRS. KIMBERLY BAKER ALTEN | APRN, BC, MSN, FNP | 1326175704 |
| RICHARD EARL WADE | FNP-BC | 1952617201 |
| CRYSTAL LYNN MCELROY | MSN/FNP | 1659676351 |
| JEREMY LEE GIANZERO | RN | 1417218595 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.