Healthcare Provider Details

I. General information

NPI: 1649323825
Provider Name (Legal Business Name): MARGARET BULMER WEST R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 N 124TH ST
SCOTTSDALE AZ
85259-3473
US

IV. Provider business mailing address

10031 E PARADISE DR
SCOTTSDALE AZ
85260-5918
US

V. Phone/Fax

Practice location:
  • Phone: 489-484-7311
  • Fax: 480-484-7301
Mailing address:
  • Phone: 480-484-7311
  • Fax: 480-484-7301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN042837
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: