Individual
SUSAN WALLS-BORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
174 S CORONADO DR STE A, SIERRA VISTA, AZ 85635-6356
(520) 545-0676
(520) 547-2993
Mailing address
2424 N. WYATT DRIVE, SECOND FLOOR, TUCSON, AZ 85712
(520) 545-0608
(520) 795-0354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
043027
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP1736
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817223
—
AZ
Enumeration date
06/09/2006
Last updated
04/18/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us