Individual
SUSAN HELEN BUMPUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
804 N KINSLEY AVE, WINSLOW, AZ 86047-3630
(928) 289-1252
Mailing address
804 N KINSLEY AVE, WINSLOW, AZ 86047-3630
(928) 289-1252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 095456
AZ
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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