Individual
PATRICIA SUZANNE DOSTALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5301 E GRANT RD, OBSTETRIX MEDICAL GROUP OF AZ, P.C., TUCSON, AZ 85712-2805
(520) 881-3936
(520) 795-0626
Mailing address
PO BOX 30280, OBSTETRIX MEDICAL GROUP OF AZ, P.C., TUCSON, AZ 85751-0280
(520) 881-3936
(520) 795-0626
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
080636
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00145
ARNP CERTIFICATE
AZ
01
—
080636
RN LICENSE
AZ
01
—
102
NURSE MIDWIFE CERTIFICATE
CA
05
—
157924
—
AZ
01
—
166
APRN RECOGNITION
HI
01
—
216287
RN LICENSE
CA
01
—
40189
RN LICENSE
HI
Enumeration date
04/03/2006
Last updated
02/25/2010
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