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

Utibe Joshua Etudor, NP

Individual provider Gerontology Nurse Practitioner · NPI 1538725916

Utibe Joshua Etudor, NP is a Nurse Practitioner in Prescott, Arizona. Qualified in 2018, 8 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

802 Ainsworth Dr Ste A
Prescott, AZ 86301-1623
Phone: (928) 771-5548
Fax: (928) 771-5549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 234106 (AZ)

Record details

NPI number1538725916
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 11, 2019
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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