Healthcare Provider Details

I. General information

NPI: 1467233171
Provider Name (Legal Business Name): ALEXIS ROSE FARLEY ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 FRONT ST STE 130
SANTA CRUZ CA
95060-4536
US

IV. Provider business mailing address

2651 FRESNO ST APT 1
SANTA CRUZ CA
95062-5374
US

V. Phone/Fax

Practice location:
  • Phone: 831-316-4020
  • Fax:
Mailing address:
  • Phone: 858-869-3530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-1449
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: