MEDICARE: RYAN BARTZ RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	237178	AZ

General Provider Information

NPI Number	:	1972271625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN BARTZ RN

Provider Business Mailing Address
First Line	:	3501 E SPEEDWAY BLVD STE 351
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3917
Country	:	US
Telephone Number	:	520-540-2723
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 E SPEEDWAY BLVD STE 351
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3917
Country	:	US
Telephone Number	:	520-540-2723
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	11/04/2025

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