Provider Demographics
NPI:1003090739
Name:YURGEL, BETTY LOUISE (NMD PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:BETTY
Middle Name:LOUISE
Last Name:YURGEL
Suffix:
Gender:F
Credentials:NMD PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:ELOY
Mailing Address - State:AZ
Mailing Address - Zip Code:85131-2506
Mailing Address - Country:US
Mailing Address - Phone:480-247-7619
Mailing Address - Fax:
Practice Address - Street 1:107 E 4TH ST
Practice Address - Street 2:
Practice Address - City:ELOY
Practice Address - State:AZ
Practice Address - Zip Code:85131-2506
Practice Address - Country:US
Practice Address - Phone:480-247-7619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN056031163W00000X
AZ07-1023175F00000X
AZTAP5500363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No175F00000XOther Service ProvidersNaturopath