Peter Tamunoh Teboh, FNP-BC
Nurse Practitioner, Family in Goodyear, AZ. Individual provider (NPI-1).
NPI number1083000327
StatusActive
Last updated in NPPESJun 8, 2021
Details
- NPI
- 1083000327
- Entity type
- Individual (NPI-1)
- Name
- Peter Tamunoh Teboh
- Credential
- FNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2015
- Certification date
- Jun 8, 2021
- Last updated
- Jun 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | TAP7740 | AZ | Yes |
Practice location
4725 N 152nd DrGoodyear, AZ 85395-8394
Phone 216-544-5418
Mailing address
4725 N 152nd DrGoodyear, AZ 85395-8394
Phone 216-544-5418
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