Healthcare Provider Details

I. General information

NPI: 1144551995
Provider Name (Legal Business Name): TRACY M BANKS ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2010
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 N ALMA SCHOOL RD APT 1058
CHANDLER AZ
85224-8013
US

IV. Provider business mailing address

3400 N ALMA SCHOOL RD APT 1058
CHANDLER AZ
85224-8013
US

V. Phone/Fax

Practice location:
  • Phone: 720-440-1867
  • Fax: 720-293-9604
Mailing address:
  • Phone: 720-440-1867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number23-1790
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: