HEATHER DE TERESA PMHNP NPI 1295504850

NPI Information

NPI: 1295504850
Provider Name: HEATHER DE TERESA, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1722 N BANNING STE 101B
MESA, AZ
ZIP 85205
Phone: (602) 400-1879
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Heather De Teresa, PMHNP is a psychiatric/mental health nurse practitioner in Mesa, AZ. Heather De Teresa, PMHNP NPI is 1295504850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1722 N BANNING STE 101B
MESA, AZ
ZIP 85205-350
Phone: (602) 400-1879

The enumeration date for this NPI number is 12/25/2023 and was last updated on 12/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	301534	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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