Healthcare Provider Details

I. General information

NPI: 1356168090
Provider Name (Legal Business Name): MARIA CUMPLIDO NMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 W CHANDLER BLVD STE 3
CHANDLER AZ
85226-3690
US

IV. Provider business mailing address

46007 W RAINBOW DR
MARICOPA AZ
85139-6952
US

V. Phone/Fax

Practice location:
  • Phone: 480-219-9900
  • Fax: 480-219-9896
Mailing address:
  • Phone: 323-479-0738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: