Individual
KIMBERLY ANN TELFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4555 E INVERNESS AVE, STE 112, MESA, AZ 85206-4630
(480) 361-0110
(480) 830-3901
Mailing address
PO BOX 30388, MESA, AZ 85275-0388
(480) 830-3902
(480) 830-3901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209020467
IL
363L00000X
Nurse Practitioner
Primary
263215
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109074
—
AZ
Enumeration date
01/02/2020
Last updated
11/15/2022
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