Utibe Joshua Etudor, NP Valid NPI

Individual provider · Gerontology Nurse Practitioner · Prescott, AZ

NPI

1538725916

Type

Individual (Type 1)

Primary specialty

Gerontology Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LG0600X

License number

234106 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2019-05-11

Last updated

2025-09-29