NPI Profile for ANNETTE KIETUR in PEORIA, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X | |||
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| NPI Number | 1578151452 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/06/2021 | |
| Last updated | 01/21/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANNETTE KIETUR
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