IndividualActive
Susan Walls-Bortman, N.P.
NPI 1679514830 · Obstetrics & Gynecology Nurse Practitioner · Sierra Vista, AZ
Provider details
- NPI number
- 1679514830
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- 043027 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
174 S Coronado Dr Ste a
Sierra Vista, AZ 85635-6356
Phone: (520) 545-0676
Fax: (520) 547-2993
Street-level locationGet directions
Mailing address
2424 N. Wyatt Drive
Tucson, AZ 85712
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2018-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.