Individual
ALFRED DEPIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130375, PHOENIX, AZ 85016-7761
(602) 933-3124
(602) 274-3394
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
54349
AZ
363LN0000X
Neonatal Nurse Practitioner
AP6382
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166315
—
AZ
Enumeration date
07/14/2006
Last updated
05/10/2023
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