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SUSAN WALLS-BORTMAN N.P.
NPI 1679514830
Nurse Practitioner - Obstetrics & Gynecology in Sierra Vista, AZ

Active since June 09, 2006
174 S CORONADO DR STE A, SIERRA VISTA, AZ 85635(520) 545-0676(520) 547-2993 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Walls-bortman N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN WALLS-BORTMAN N.P. (NPI 1679514830) is an individual obstetrics & gynecology provider in Sierra Vista, Arizona, licensed in Arizona (AP1736) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1679514830
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameSUSAN WALLS-BORTMANCredential: N.P.
Location Address174 S CORONADO DR STE ASierra Vista, AZ 85635-6356
Mailing Address2424 N. Wyatt Drive, Second FloorTucson, AZ 85712 · (520) 545-0608 · Fax (520) 795-0354
Phone(520) 545-0676
Fax(520) 547-2993
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateApril 18, 2018
✔ NPI 1679514830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in AZ · AP1736
Also ListedRegistered NurseTaxonomy 163W00000X · License 043027 (AZ)
174 S CORONADO DR STE A, Sierra Vista, AZ 85635
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Other Identifiers 1

Medicaid817223AZ

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLIE SCOTT CNM
Advanced Practice Midwife
174 S CORONADO DR STE A
SIERRA VISTA, AZ 85635
Cochise County (520) 545-0676
MS. KIMBERLY ANN ECKLEY WHC NP RNC
Nurse Practitioner (Women's Health)
174 S CORONADO DR STE A
SIERRA VISTA, AZ 85635
Cochise County (520) 545-0676
BRANDY ARELLANO CNM
Advanced Practice Midwife
174 S CORONADO DR STE A
SIERRA VISTA, AZ 85635
Cochise County (520) 545-0676
BRUCE E SILVA M.D.
Obstetrics & Gynecology
174 S CORONADO DR STE A
SIERRA VISTA, AZ 85635
Cochise County (520) 545-0676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Walls-bortman's NPI number?

The NPI number for Susan Walls-bortman is 1679514830. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Susan Walls-bortman located?

Susan Walls-bortman practices at 174 S Coronado Dr Ste A, Sierra Vista, AZ 85635. The listed phone number is (520) 545-0676.

What is Susan Walls-bortman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Susan Walls-bortman was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.