Healthcare Provider Details

I. General information

NPI: 1174777569
Provider Name (Legal Business Name): KARLEE JOAN HEFFNER N.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2008
Last Update Date: 03/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7508 E 2ND ST STE 1A
SCOTTSDALE AZ
85251-4504
US

IV. Provider business mailing address

7508 E 2ND ST STE 1A
SCOTTSDALE AZ
85251-4504
US

V. Phone/Fax

Practice location:
  • Phone: 480-406-0433
  • Fax:
Mailing address:
  • Phone: 480-406-0433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number08-1077
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: