Provider Demographics
NPI:1396460713
Name:MANN, JULIANNA PAIGE (ND)
Entity type:Individual
Prefix:DR
First Name:JULIANNA
Middle Name:PAIGE
Last Name:MANN
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 1:9450 N 94TH PL UNIT 219
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5125
Mailing Address - Country:US
Mailing Address - Phone:480-486-0277
Mailing Address - Fax:
Practice Address - Street 1:9450 N 94TH PL UNIT 219
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5125
Practice Address - Country:US
Practice Address - Phone:480-486-0277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1362175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath