Individual provider · Type 1 NPI
Juan Salvador Canonero Altura, FNP-C
Family Nurse Practitioner · Mesa, AZ
NPI number
1871401307
Active
Practice location
3219 E Jerome Ave
Mesa, AZ 85204-7317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RNP345890 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1871401307
Juan Salvador Canonero Altura, FNP-C's National Provider Identifier is 1871401307, issued on Aug 27, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesa, AZ. The record was last updated on Sep 21, 2026.