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Individual

THERESE J. SARGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
9250 N 3RD ST STE 3015, PHOENIX, AZ 85020-2425
(480) 867-7171
Mailing address
111 E DUNLAP AVE STE 1-285, PHOENIX, AZ 85020-2807
(480) 867-7171
(480) 569-2865

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP1054
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1054
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
642034
AZ
Enumeration date
08/12/2005
Last updated
01/30/2025
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