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NPI Code Detail

MEDICARE: TERESA ANNA VON BORRIES VALENTI FNP-C

MEDICARE: TERESA ANNA VON BORRIES VALENTI FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner228392AZ

General Provider Information

NPI Number : 1376363705
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA ANNA VON BORRIES VALENTI FNP-C
Provider Business Mailing Address
First Line : 1514 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-6101
Country : US
Telephone Number : 602-283-5732
Fax Number :
Provider Business Practice Location Address
First Line : 1514 W THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-6101
Country : US
Telephone Number : 602-283-5732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2024
Last Update Date : 04/23/2026

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Directions to “ TERESA ANNA VON BORRIES VALENTI FNP-C” Practice Location

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