Provider Demographics
NPI:1518635283
Name:NOBOA, JAMES ALEJANDRO (RN)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALEJANDRO
Last Name:NOBOA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12371 N ECHO VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-1818
Mailing Address - Country:US
Mailing Address - Phone:520-310-5358
Mailing Address - Fax:
Practice Address - Street 1:12371 N ECHO VALLEY DR
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-1818
Practice Address - Country:US
Practice Address - Phone:520-310-5358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ248031163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine