Bethany Stutzman
Nurse Practitioner, Family in Azusa, CA. Individual provider (NPI-1).
NPI number1639613847
StatusActive
Last updated in NPPESDec 6, 2016
Details
- NPI
- 1639613847
- Entity type
- Individual (NPI-1)
- Name
- Bethany Stutzman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2016
- Last updated
- Dec 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95005607 | CA | Yes |
| 163W00000X | Registered Nurse | 95054538 | CA |
Practice location
150 N Azusa AveAzusa, CA 91702-3521
Phone 626-969-7885
Mailing address
150 N Azusa AveAzusa, CA 91702-3521
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All 17 Family Nurse Practitioner providers in Azusa · All 631 providers in Azusa
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