Provider Demographics
NPI:1427569292
Name:AVAKIAN, ARA BETH (ND, FNP-BC)
Entity type:Individual
Prefix:
First Name:ARA
Middle Name:BETH
Last Name:AVAKIAN
Suffix:
Gender:F
Credentials:ND, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 ROADRUNNER DR
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-3763
Mailing Address - Country:US
Mailing Address - Phone:928-282-9541
Mailing Address - Fax:
Practice Address - Street 1:185 ROADRUNNER DR
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-3763
Practice Address - Country:US
Practice Address - Phone:928-282-9541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-19
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ17-1642175F00000X
AZ228677363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No175F00000XOther Service ProvidersNaturopathGroup - Single Specialty