Individual
TETYANA MISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301
(928) 771-5470
Mailing address
PO BOX 11720, NORTHERN ARIZONA HOSPITALISTS ATTN: DR. MISSEY, PRESCOTT, AZ 86304
(928) 771-5470
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN163998/AP8503
AZ
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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