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Contact Information

ANNETTE KIETUR
7797 W PARADISE LN STE 130
PEORIA, AZ85382-5011
 Phone: 623-337-7831
 Fax: 855-978-1317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANNETTE KIETUR · (Female)

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
  • AZ License # 251944
  • AZ License # RN200321
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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