Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 18-1731 | AZ |
NPI | 1124502216 |
---|---|
Provider Name | Dr. Madelein C Shafferman |
First Address | Scottsdale, AZ 85254-4036 |
Second Address | Scottsdale, AZ 85254-4036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2018 |
Last Update Date | 18/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
18-1731 | ARIZONA NATUROPATHIC MEDICAL BOARD (01) | AZ |