Healthcare Provider Details

I. General information

NPI: 1609797224
Provider Name (Legal Business Name): SONIA NAVARRO RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 E BARBARA DR
TEMPE AZ
85288-1668
US

IV. Provider business mailing address

1321 E BARBARA DR
TEMPE AZ
85288-1668
US

V. Phone/Fax

Practice location:
  • Phone: 928-486-8881
  • Fax:
Mailing address:
  • Phone: 928-486-8881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86107709
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: