Donna Louise Bozzolo, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP1994 Issued in AZ

Practice address

450 S Willard St
Suite 120
Cottonwood, AZ 86326-6743

Phone

(928) 634-2574

Fax

(928) 634-2841

NPI assigned

May 26, 2006

Last updated

May 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Verde Valley Urgent Care and Occupational Medicine, PLC

  • Urgent Care Clinic/Center
  • Cottonwood, AZ
  • NPI 1316099526
  NPD (past)
• Willard Emergency Physicians

  • Emergency Medicine Physician
  • Cottonwood, AZ
  • NPI 1598714743
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1164478699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST",
            "address_2": "SUITE 120",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266743",
            "telephone_number": "928-634-2574",
            "fax_number": "928-634-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST",
            "address_2": "SUITE 120",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266743",
            "telephone_number": "928-634-2574",
            "fax_number": "928-634-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZOLO",
        "first_name": "DONNA",
        "middle_name": "LOUISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP1994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "941759",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Body Recovery Clinic
• Booth Orthodontics PLLC (Verde Valley Orthodontics)
• Nicholas Paul Booth, DMD, MS
• Eleanor Hebert Bourque, FNP-C
• Allen D Boyd, MD
• Nicole Marie Bradbury, LCSW
• Bradshaw Mountain Diagnostic Laboratory Inc
• Bethany Jo Brady, DPT
• David Brian Brady
• Barbara J Braun, MD

• Nurse Practitioner in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.