Individual provider · Type 1 NPI

Utibe Joshua Etudor, NP

Gerontology Nurse Practitioner · Prescott, AZ

NPI number 1538725916 Active

Practice location

802 Ainsworth Dr Ste A
Prescott, AZ 86301-1623

Fax (928) 771-5549

Mailing address

PO Box 10880
Prescott, AZ 86304-0880

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X234106 (AZ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1538725916

Utibe Joshua Etudor, NP's National Provider Identifier is 1538725916, issued on May 11, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Prescott, AZ. The record was last updated on Sep 29, 2025.