Marian Bautista Cid, R.N., A.N.P.
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Bullhead City, AZ
NPI 1740544741 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1740544741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- AP1408 (AZ)
- Practice address
- 3003 Highway 95
Suite 39
Bullhead City, AZ 86429 - Phone
- (928) 758-1010
- Fax
- (928) 758-1428
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1408 | AZ | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Physician Practices LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP1408 | AZ | Yes |
Addresses
Primary practice location
3003 Highway 95
Suite 39
Bullhead City, AZ 86429
Mailing address
3003 Highway 95
Suite 39
Bullhead City, AZ 86429
Phone (928) 758-1010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145525 | Medicaid | AZ |
Other providers in Bullhead City, AZ
- Childrens Medical Center of Bullhead City, PLLC
- Burhan F Chinikhanwala
- Ahsun Cho
- Dasol Choi
- Ihtisham Choudhry
- Rodrigo Maramba Cid
- Clark Eyecare, P.C.
- Christopher N Clark
- Lindsie Collins
- Colorado River Eye Care, PC
All providers in Bullhead City, AZ · Obstetrics & Gynecology Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.