Individual
JOYCE J TETREAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1900
(602) 933-1918
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2262
AZ
363LF0000X
Family Nurse Practitioner
RN095629
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099465
—
AZ
Enumeration date
05/04/2006
Last updated
01/30/2018
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