Bozzolo, Donna Louise

Bozzolo, Donna Louise is an individual health care provider with primary practice located at 450 S Willard St Suite 120, Cottonwood AZ 86326-6743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bozzolo, Donna Louise can be contacted via phone (928) 634-2574.

Contact Information

Primary practice address
450 S Willard St Suite 120 Cottonwood AZ 86326-6743
Phone: (928) 634-2574
Fax: (928) 634-2841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP1994 Arizona

Profile Details

NPI number 1164478699
LBN Legal business name Bozzolo, Donna Louise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 28th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164478699 NPPES
Arizona MEDICAID 941759

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