TERI VICTOR (NPI# 1003883273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003883273 |
| Entity Type | Individual |
| Full Name | TERI VICTOR |
| Credential | ANP |
| Practice Address |
12361 W Bola Dr Ste 100 Surprise AZ 85378-9021 |
| Mailing Address |
Po Box 41638 Phoenix AZ 85080-1638 |
| Practice Telephone | 6026419486 |
| Practice Fax Number | 4805008430 |
| Mailing Telephone | 6026419486 |
| Mailing Fax Number | 4805008430 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN073728 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 243632 | 05 |
| Street Address |
12361 W BOLA DR STE 100 |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85378-9021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989576 | National Cardiovascular Associates, LLC | Internal Medicine | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2020-04-01 |
| 1174160329 | Physician United, LLC | Family Medicine | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2019-12-06 |
| 1114582590 | Gregory David Mikut | Nurse Practitioner | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2019-05-01 |
| 1902312317 | Pinnacle Vein and Vascular Center Pllc | Surgery | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2017-12-20 |
| 1851729776 | Claudia M Angulo | Nurse Practitioner | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2013-10-31 |
| 1992130884 | Jonathan Dale Peckham | Physician Assistant | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2013-09-10 |
| 1063632149 | Stephen Troy Smith | Surgery | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2007-04-30 |
| 1104984491 | Kishlay Anand | Internal Medicine | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2006-12-05 |
| 1982643987 | Annette H Tuszynski | Nurse Practitioner | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2006-06-05 |
| 1295781029 | Andy T Tran | Internal Medicine | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467947101 | Destiny Springs Healthcare, LLC | Psychiatric Hospital | 17300 N. Dysart Road, Surprise, AZ 85378 | 2018-06-26 |
| 1881013480 | Amanda Brimlow | Specialist | 12425 West Bell Rd, Suite 200, Surprise, AZ 85378 | 2014-04-10 |
| 1598193104 | Kalin Marie Harding | Nurse Practitioner | 12425 W. Bell Rd., Suite 106, Suprise, AZ 85378 | 2013-10-16 |
| 1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
| 1962756528 | Daniel Allen Dryer | Registered Nurse | 11607 W. Mingus Mt. Ct., Surprise, AZ 85378 | 2012-11-05 |
| 1124374715 | Rabeca Vatamaniuc | Home Health Aide | 11151 W Lily Mckinley Dr, Surprise, AZ 85378 | 2012-08-01 |
| 1710073457 | Arizona's Children Association | Clinic/Center | 11321 West Bell Road, Suite 401, Surprise, AZ 85378 | 2006-10-04 |
| 1538429121 | Sr Billing | Anesthesiology | 12361 W Bola Dr, Suite 109, Surprise, AZ 85378 | 2012-05-17 |
| 1457515579 | Madhuri Dhupati & Associates Md PC. | Clinic/Center | 12647 W Smokey Dr Ste 119, Surprise, AZ 85378 | 2008-07-17 |
| 1205267119 | Post-acute Physicians of Arizona Pllc | Physical Medicine & Rehabilitation | 13060 W Bell Rd, Surprise, AZ 85378-1200 | 2013-12-02 |
| Find all providers in zip 85378 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952964660 | Century Health Care Np LLC | Nurse Practitioner | 12301 W Bell Rd Ste B107, Surprise, AZ 85378-9706 | 2019-04-17 |
| 1760975312 | Michelle Witzel | Nurse Practitioner | 12301 W Bell Rd Ste B107, Surprise, AZ 85378-9706 | 2018-06-08 |
| 1235648148 | Charis Wilder | Nurse Practitioner | 15351 W Bell Rd, Surprise, AZ 85374-4580 | 2017-09-22 |
| 1700269115 | Jennifer Meghan Weitman | Nurse Practitioner | 14780 W Mountain View Blvd, Suite 110, Surprise, AZ 85374-7280 | 2015-07-02 |
| 1326313222 | Jennifer Hill | Nurse Practitioner | 15571 N Reems Rd, Surprise, AZ 85374-9584 | 2012-03-12 |
| 1174712491 | Pamela Sue Conn | Nurse Practitioner | 14674 W Mountain View Blvd, Suite 200, Surprise, AZ 85374-2705 | 2007-10-23 |
| 1962553347 | Rebecca M. Logue | Nurse Practitioner | 14973 W Bell Rd, Surprise, AZ 85374-3236 | 2007-01-14 |
| 1982643987 | Annette H Tuszynski | Nurse Practitioner | 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947404 | Alyssa Marie Lehn | Nurse Practitioner | 7501 E Mcdowell Rd Apt 3167, Scottsdale, AZ 85257-3574 | 2020-09-22 |
| 1205440310 | Alexa Kucharo | Nurse Practitioner | 4111 N Drinkwater Blvd Apt B405, Scottsdale, AZ 85251-3658 | 2020-09-04 |
| 1942819230 | Care On Pllc | Nurse Practitioner | 7171 S 51 Ave, Phoenix, AZ 85339-2923 | 2020-07-23 |
| 1720605231 | Sadie Franco | Nurse Practitioner | 8581 N Rolling River Dr, Tucson, AZ 85743-1451 | 2020-06-30 |
| 1134746951 | Leah Beth Richardson | Nurse Practitioner | 2970 N Litchfield Rd Ste 120, Goodyear, AZ 85395-7831 | 2020-06-27 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1073141529 | Shannalee Senior | Nurse Practitioner | 12574 W Mazatzal Dr, Peoria, AZ 85383-0379 | 2020-03-31 |
| 1821621996 | Healthy Scottsdale, LLC | Nurse Practitioner | 7534 E 2nd St Ste 101, Scottsdale, AZ 85251-4548 | 2020-02-18 |
| 1710522024 | Kelsey Conrad | Nurse Practitioner | 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 | 2019-11-11 |
| 1124662408 | Rayiom Health and Wellness, Inc | Nurse Practitioner | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.