Individual
TAMARA M BULTHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-RNP
Contact information
Practice address
916 E SUN VALLEY FARMS LN, SAN TAN VALLEY, AZ 85140-4264
(919) 451-2004
Mailing address
916 E SUN VALLEY FARMS LN, SAN TAN VALLEY, AZ 85140-4264
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RNP252914
AZ
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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