Healthcare Provider Details

I. General information

NPI: 1326889718
Provider Name (Legal Business Name): HANNA MARIA HAVERINEN PHD, NMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HANNA MARIA HAVERINEN PHD, NMD

II. Dates (important events)

Enumeration Date: 06/01/2024
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 E BROWN RD STE 3
MESA AZ
85213-5250
US

IV. Provider business mailing address

2160 E BROWN RD
MESA AZ
85213-5250
US

V. Phone/Fax

Practice location:
  • Phone: 623-335-7143
  • Fax: 623-335-7146
Mailing address:
  • Phone: 623-335-7143
  • Fax: 623-335-7146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number24-1862
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: