Healthcare Provider Details

I. General information

NPI: 1518635283
Provider Name (Legal Business Name): JAMES ALEJANDRO NOBOA APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N CAMPBELL AVE
TUCSON AZ
85719-4330
US

IV. Provider business mailing address

12371 N ECHO VALLEY DR
ORO VALLEY AZ
85755-1818
US

V. Phone/Fax

Practice location:
  • Phone: 520-310-5358
  • Fax:
Mailing address:
  • Phone: 520-310-5358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number248031
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number248031
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: