Healthcare Provider Details

I. General information

NPI: 1992060040
Provider Name (Legal Business Name): NATALIE M ERTZ-ARCHAMBAULT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2012
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 N 3RD ST STE 3010
PHOENIX AZ
85020-2425
US

IV. Provider business mailing address

9250 N 3RD ST STE 3010
PHOENIX AZ
85020-2425
US

V. Phone/Fax

Practice location:
  • Phone: 623-238-7750
  • Fax: 480-882-5018
Mailing address:
  • Phone: 623-238-7750
  • Fax: 480-882-5018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number49550
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number49550
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: