Individual provider · Type 1 NPI
Debra Theriot, CNS
Adult Health Nurse Practitioner · Scottsdale, AZ
NPI number
1972517696
Active
Practice location
13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 60241 (LA) |
| Clinical Nurse Specialist | 364S00000X | AP2474 (AZ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1972517696
Debra Theriot, CNS's National Provider Identifier is 1972517696, issued on Jul 28, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Scottsdale, AZ. The record was last updated on Dec 12, 2007.