Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annette Kietur

Individual provider Nurse Practitioner · NPI 1578151452

Annette Kietur is a Nurse Practitioner in Peoria, Arizona. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

7797 W Paradise Ln Ste 130
Peoria, AZ 85382-5011
Phone: (623) 337-7831
Fax: (855) 978-1317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Wound Care Registered Nurse (primary) Taxonomy 163WW0000X · Licence RN200321 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 251944 (AZ)

Record details

NPI number1578151452
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 6, 2021
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Peoria