Individual
BETH ANN BAZEVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
16435 N SCOTTSDALE RD STE 285, SCOTTSDALE, AZ 85254-1680
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
219764
AZ
Other
Enumeration date
01/24/2019
Last updated
10/10/2023
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