Provider Demographics
NPI:1760625214
Name:MARTELLI, JOANNE MARIE (PMHNP)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:MARIE
Last Name:MARTELLI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 W ELLIOT RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-5129
Mailing Address - Country:US
Mailing Address - Phone:623-692-9933
Mailing Address - Fax:623-249-7418
Practice Address - Street 1:4329 W ELECTRA LN
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85310-3972
Practice Address - Country:US
Practice Address - Phone:623-692-9933
Practice Address - Fax:623-249-7418
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-14
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3300363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health