Healthcare Provider Details

I. General information

NPI: 1144136318
Provider Name (Legal Business Name): ALEXANDRIA DANIELLE DIEKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4450 S RURAL RD STE 200
TEMPE AZ
85282-7037
US

IV. Provider business mailing address

14245 N 20TH WAY
PHOENIX AZ
85022-4633
US

V. Phone/Fax

Practice location:
  • Phone: 480-590-5428
  • Fax:
Mailing address:
  • Phone: 602-478-8165
  • 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: