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NPI Code Detail

MEDICARE: DR. AMANDA CHRISTIAN ELLIS NMD

MEDICARE: DR. AMANDA CHRISTIAN ELLIS NMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath24-1885AZ

General Provider Information

NPI Number : 1023838224
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA CHRISTIAN ELLIS NMD
Provider Business Mailing Address
First Line : PO BOX 403
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85252-0403
Country : US
Telephone Number : 480-388-2773
Fax Number :
Provider Business Practice Location Address
First Line : 9700 N 91ST ST STE A115
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-5036
Country : US
Telephone Number : 480-388-2773
Fax Number : 800-544-7911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2024
Last Update Date : 05/11/2026

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Directions to “ DR. AMANDA CHRISTIAN ELLIS NMD” Practice Location

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