Provider Demographics
NPI:1376363705
Name:VON BORRIES VALENTI, TERESA ANNA (FNP-C)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:ANNA
Last Name:VON BORRIES VALENTI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 W THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-6101
Mailing Address - Country:US
Mailing Address - Phone:602-283-5732
Mailing Address - Fax:
Practice Address - Street 1:1514 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-6101
Practice Address - Country:US
Practice Address - Phone:602-283-5732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ228392207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine