Provider Demographics
NPI:1386888618
Name:MOROSO, HEATHER A (ND)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:A
Last Name:MOROSO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2231 S 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-3514
Mailing Address - Country:US
Mailing Address - Phone:520-275-1449
Mailing Address - Fax:520-495-5059
Practice Address - Street 1:2231 S 4TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-3514
Practice Address - Country:US
Practice Address - Phone:520-275-1449
Practice Address - Fax:520-495-5059
Is Sole Proprietor?:No
Enumeration Date:2009-04-30
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ037692083P0901X
AZ03-769175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine