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NPI Code Detail

MEDICARE: DR. EMILEE WAYNE NMD

MEDICARE: DR. EMILEE WAYNE NMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath17-1655AZ

General Provider Information

NPI Number : 1902316235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILEE WAYNE NMD
Provider Business Mailing Address
First Line : 1910 S STAPLEY DR STE 120
Second Line :
City : MESA
State : AZ
Zip : 85204-6676
Country : US
Telephone Number : 480-648-2353
Fax Number : 866-561-0206
Provider Business Practice Location Address
First Line : 1910 S STAPLEY DR STE 120
Second Line :
City : MESA
State : AZ
Zip : 85204-6676
Country : US
Telephone Number : 480-648-2353
Fax Number : 866-561-0206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2017
Last Update Date : 07/29/2025

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Directions to “ DR. EMILEE WAYNE NMD” Practice Location

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