BETHANY STUTZMAN NPI 1639613847

NPI Information

  • NPI: 1639613847
  • Provider Name: BETHANY STUTZMAN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 N AZUSA AVE
    AZUSA, CA
    ZIP 91702
  • Phone: (626) 969-7885

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NPI Details

Bethany Stutzman is a family nurse practitioner in Azusa, CA. Bethany Stutzman NPI is 1639613847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 N AZUSA AVE
AZUSA, CA
ZIP 91702-521
Phone: (626) 969-7885

The NPI 1639613847 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2016 and was last updated on 12/6/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse95054538CALIFORNIANo
2363LF0000XNurse PractitionerFamily95005607CALIFORNIAYes

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: 11/21/2025

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