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Organization

BELLA VITA HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE M PURINTON CNM (OWNER)
(928) 649-7899
Entity
Organization

Contact information

Practice address
294 W STATE ROUTE 89A STE 209, COTTONWOOD, AZ 86326-3765
(928) 649-7899
(928) 649-7898
Mailing address
PO BOX 1851, COTTONWOOD, AZ 86326-1851
(928) 649-7899
(928) 649-7898

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
14606
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP3450
AZ

Other

Enumeration date
07/25/2012
Last updated
11/26/2012
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