Provider Demographics
NPI:1881249084
Name:BITSUI, NATASHA RENEE
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:RENEE
Last Name:BITSUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 777
Mailing Address - Street 2:
Mailing Address - City:CHINLE
Mailing Address - State:AZ
Mailing Address - Zip Code:86503-0777
Mailing Address - Country:US
Mailing Address - Phone:928-674-2570
Mailing Address - Fax:928-674-2191
Practice Address - Street 1:NAVAJO RTE 7 AND 102-1
Practice Address - Street 2:C012-118
Practice Address - City:CHINLE
Practice Address - State:AZ
Practice Address - Zip Code:86503
Practice Address - Country:US
Practice Address - Phone:928-674-2570
Practice Address - Fax:928-674-2191
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker