MEDICARE: DR. JOANNE FEASTER N.M.D.

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
1	175F00000X	Naturopath	04-834	AZ

General Provider Information

NPI Number	:	1316092497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNE FEASTER N.M.D.

Provider Business Mailing Address
First Line	:	1415 E BATES ST
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85203-2002
Country	:	US
Telephone Number	:	480-226-4554
Fax Number	:

Provider Business Practice Location Address
First Line	:	2210 S MILL AVE STE 3
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85282-2153
Country	:	US
Telephone Number	:	480-619-8662
Fax Number	:	480-422-9134

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	11/30/2020

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