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NPI Code Detail

MEDICARE: TERESA MARIE DELSI ESTRADA NP

MEDICARE:   TERESA MARIE DELSI ESTRADA  NP
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 PractitionerAP3881AZ

General Provider Information

NPI Number : 1720380868
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA MARIE DELSI ESTRADA NP
Provider Business Mailing Address
First Line : 10621 W CARLOTA LN
Second Line :
City : PEORIA
State : AZ
Zip : 85383-1747
Country : US
Telephone Number : 602-999-6816
Fax Number :
Provider Business Practice Location Address
First Line : 8332 W THUNDERBIRD RD
Second Line :
City : PEORIA
State : AZ
Zip : 85381-4822
Country : US
Telephone Number : 623-776-3006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2010
Last Update Date : 01/02/2025

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Directions to “ TERESA MARIE DELSI ESTRADA NP” Practice Location

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