MS. MURRYELLE BOTHWELL


Address: 25 El Camino Real, Suite 4, Sierra Vista, AZ 85635-2800
Phone: 5204170996

MS. MURRYELLE BOTHWELL (NPI# 1780609461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780609461
Entity Type Individual
Full Name MS. MURRYELLE BOTHWELL
Credential NP
Practice Address 25 El Camino Real
Suite 4
Sierra Vista
AZ 85635-2800
Mailing Address 2011 Tiffany Pl
Sierra Vista
AZ 85635-4129
Practice Telephone 5204170996
Practice Fax Number 5204172042
Mailing Telephone 5204593970
Enumeration Date 2006-07-13
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN051269 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 25 EL CAMINO REAL
SUITE 4
City SIERRA VISTA
State AZ
Zip Code 85635-2800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538128087 Gary L Giangregorio Psychologist 25 El Camino Real, Suite 3, Sierra Vista, AZ 85635 2006-03-22
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1629122189 Jacquelyn Joy Zandrews Social Worker 25 El Camino Real, Suite 4, Sierra Vista, AZ 85635 2007-01-22
1669532636 Mary Taylor Davis Psychologist 25 El Camino Real, Suite 3, Sierra Vista, AZ 85635-2800 2006-12-11

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1124115191 Teresa Sellars Nurse Practitioner 185 S Moorman Ave, Sierra Vista, AZ 85635-2700 2006-10-09

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Competitor

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City SIERRA VISTA
Zip Code 85635

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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