Organization
BELLA VITA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE PURINTON CNM (OWNER)
(928) 300-5360
Entity
Organization
Contact information
Practice address
203 S CANDY LN, SUITE 6AB, COTTONWOOD, AZ 86326-4120
(928) 634-0391
(928) 634-6145
Mailing address
203 S CANDY LN, SUITE 6AB, COTTONWOOD, AZ 86326-4120
(928) 634-0391
(928) 634-6145
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP3450
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496545
—
AZ
Enumeration date
03/14/2016
Last updated
03/14/2016
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