Healthcare Provider Details

I. General information

NPI: 1144043811
Provider Name (Legal Business Name): MELISA CLIFTON ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 E BROADWAY BLVD STE G
TUCSON AZ
85716-5334
US

IV. Provider business mailing address

2530 E BROADWAY BLVD STE G
TUCSON AZ
85716-5334
US

V. Phone/Fax

Practice location:
  • Phone: 520-448-9031
  • Fax: 520-448-9183
Mailing address:
  • Phone: 520-448-9031
  • Fax: 520-448-9183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number24-1879
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: