Individual
TERESA TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 W THOMAS RD STE 600, PHOENIX, AZ 85013-4221
(602) 406-1140
(602) 406-1149
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP5422
AZ
363LA2200X
Adult Health Nurse Practitioner
AP5422
AZ
Other
Enumeration date
03/16/2014
Last updated
11/07/2024
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