Healthcare Provider Details

I. General information

NPI: 1851076640
Provider Name (Legal Business Name): BAILEY NEWMAN ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 E LONG LOOK DR
PRESCOTT VALLEY AZ
86314-5507
US

IV. Provider business mailing address

999 N JOSHUA TREE LN
GILBERT AZ
85234-3022
US

V. Phone/Fax

Practice location:
  • Phone: 928-582-6447
  • Fax:
Mailing address:
  • Phone: 602-321-3398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number22-1764
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: