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Individual

ARNOLD ALTIVEROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
9589 FOUR WINDS DR APT 1217, ELK GROVE, CA 95758-7146
(312) 888-6337
Mailing address
16572 NW 6TH ST, PEMBROKE PINES, FL 33028-1453
(312) 888-6337

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95010701
CA
363LF0000X
Family Nurse Practitioner
9453450
FL
363LF0000X
Family Nurse Practitioner
Primary
95010701
CA

Other

Enumeration date
10/04/2018
Last updated
11/29/2023
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