Provider Type Icon

BELLA VITA HEALTHCARE NPI 1245691625


NPI Information

NPI: 1245691625
Provider Name: BELLA VITA HEALTHCARE
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

CLIA Number: 03D2111520

Address:
203 S CANDY LN
SUITE 6AB
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 634-0391
Get Directions

BELLA VITA HEALTHCARE is a women's health nurse practitioner in Cottonwood, AZ. BELLA VITA HEALTHCARE NPI is 1245691625. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

203 S CANDY LN
SUITE 6AB
COTTONWOOD, AZ
ZIP 86326-120
Phone: (928) 634-0391
Fax: (928) 634-6145

The provider's authorized official is Stephanie Purinton .
The authorized official title is Owner and has the following contact phone number (928) 300-5360.

The CLIA number assigned to this NPI record is 03D2111520 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2016 and was last updated on 3/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's HealthAP3450ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1496545MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.