Basic Information
Provider Information
NPI: 1033210653
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARGYROS
FirstName: THERESE
MiddleName: G
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2500 W UTOPIA RD
Address2: STE. 100
City: PHOENIX
State: AZ
PostalCode: 850274171
CountryCode: US
TelephoneNumber: 6022146148
FaxNumber: 6022146149
Practice Location
Address1: 4712 E DYNAMITE BLVD
Address2:  
City: CAVE CREEK
State: AZ
PostalCode: 853316243
CountryCode: US
TelephoneNumber: 4803428711
FaxNumber: 4803427077
Other Information
ProviderEnumerationDate: 09/26/2006
LastUpdateDate: 09/24/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN030537AZY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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