Individual
DEBRA THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
60241
LA
364S00000X
Clinical Nurse Specialist
AP2474
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111047
—
MS
05
—
1174793
—
LA
Enumeration date
07/28/2006
Last updated
12/12/2007
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