Provider Demographics
NPI:1962656124
Name:ARROYO, NANETTE E
Entity type:Individual
Prefix:
First Name:NANETTE
Middle Name:E
Last Name:ARROYO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 S CLEMENTINE ST APT 104
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-3823
Mailing Address - Country:US
Mailing Address - Phone:714-345-2640
Mailing Address - Fax:
Practice Address - Street 1:415 S CLEMENTINE ST APT 104
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-3823
Practice Address - Country:US
Practice Address - Phone:714-345-2640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator