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Individual

VELDINA RAYE ALTENHEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
7720 N 16TH ST, STE 425, PHOENIX, AZ 85020-4492
(602) 476-8962
(623) 643-9236
Mailing address
7720 N 16TH ST, STE 425, PHOENIX, AZ 85020-4492
(602) 476-8962
(623) 643-9236

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN038045
AZ
363L00000X
Nurse Practitioner
Primary
AP5777
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
628512
AZ
Enumeration date
07/15/2010
Last updated
10/14/2014
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