Individual provider · Type 1 NPI

Mario Eleno De Castro Cordero Iii, FNP-C

Family Nurse Practitioner · San Tan Valley, AZ

NPI number 1942559323 Active

Practice location

287 E Hunt Hwy, Suite 105
San Tan Valley, AZ 85143-5095

Fax (480) 535-0962

Mailing address

4600 S Mill Ave, Suite 280
Tempe, AZ 85282-6757

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF0812566 (AZ)

Family Nurse Practitioner: Definition to come...

16 other providers at this address

Other family nurse practitioner providers in San Tan Valley

See all in San Tan Valley →

About NPI 1942559323

Mario Eleno De Castro Cordero Iii, FNP-C's National Provider Identifier is 1942559323, issued on Aug 31, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Tan Valley, AZ. The record was last updated on May 29, 2019.