Healthcare Provider Details

I. General information

NPI: 1508782236
Provider Name (Legal Business Name): DEVON CARMELLA DESIMONE N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14417 S 24TH PL
PHOENIX AZ
85048-9015
US

IV. Provider business mailing address

14417 S 24TH PL
PHOENIX AZ
85048-9015
US

V. Phone/Fax

Practice location:
  • Phone: 480-636-0766
  • Fax:
Mailing address:
  • Phone: 480-636-0766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: