Individual
MR. EDGAR ESTEBAN PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3690 S PARK AVE STE 805, TUCSON, AZ 85713-5042
(520) 616-6760
(520) 616-6799
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 616-1442
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3259
AZ
Other
Enumeration date
01/24/2009
Last updated
09/04/2025
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