Individual provider · Type 1 NPI
Susan Walls-Bortman, N.P.
Obstetrics & Gynecology Nurse Practitioner · Sierra Vista, AZ
NPI number
1679514830
Active
Practice location
174 S Coronado Dr Ste A
Sierra Vista, AZ 85635-6356
Fax (520) 547-2993
Mailing address
2424 N. Wyatt Drive, Second Floor
Tucson, AZ 85712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 043027 (AZ) |
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | AP1736 (AZ) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1679514830
Susan Walls-Bortman, N.P.'s National Provider Identifier is 1679514830, issued on Jun 9, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Sierra Vista, AZ. The record was last updated on Apr 18, 2018.