Provider Demographics
NPI:1235523036
Name:SOTO, ANNE-JEANETTE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANNE-JEANETTE
Middle Name:
Last Name:SOTO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ANNE-JEANETTE
Other - Middle Name:
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3601 S 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85723-0001
Mailing Address - Country:US
Mailing Address - Phone:520-792-1450
Mailing Address - Fax:520-459-3654
Practice Address - Street 1:3601 S 6TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-2967
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:520-459-3654
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-19
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7706363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily