Individual
ALLAN JEFF BISCOCHO BARTOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
4616 N 51ST AVE STE 108, PHOENIX, AZ 85031-1720
(602) 285-6800
(602) 269-8410
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 285-6800
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
232678
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
232678
AZ
Other
Enumeration date
01/27/2026
Last updated
04/10/2026
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