Individual provider · Type 1 NPI
Theresa Deters, NP
Family Nurse Practitioner · Prescott, AZ
NPI number
1891762530
Active
Practice location
500 Highway 89 North
Prescott, AZ 86301
Mailing address
500 N US Highway 89
Prescott, AZ 86313-5001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209003875 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1891762530
Theresa Deters, NP's National Provider Identifier is 1891762530, issued on Mar 1, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Prescott, AZ. The record was last updated on Apr 3, 2026.