Individual
TERESA L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
345 E VIRGINIA AVE, PHOENIX, AZ 85004-1202
(602) 755-0800
(602) 252-6115
Mailing address
PO BOX 24981, BELFAST, ME 04915-2000
(844) 969-0686
(773) 832-7083
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP7148
AZ
363LA2200X
Adult Health Nurse Practitioner
RN071843
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AZ 825903
—
AZ
Enumeration date
06/01/2005
Last updated
07/09/2025
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