Healthcare Provider Details

I. General information

NPI: 1639044407
Provider Name (Legal Business Name): REBECCA ANNE BARTELS RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6750 E BAYWOOD AVE
MESA AZ
85206-1749
US

IV. Provider business mailing address

9936 E ESCONDIDO AVE
MESA AZ
85208-5848
US

V. Phone/Fax

Practice location:
  • Phone: 480-854-5000
  • Fax:
Mailing address:
  • Phone: 480-327-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number332480
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN153182
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: