Provider Demographics
NPI:1487271631
Name:GARVIN, DANIELLE (ND)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:GARVIN
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 1:2158 S ESTRELLA CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-6355
Mailing Address - Country:US
Mailing Address - Phone:515-451-8571
Mailing Address - Fax:
Practice Address - Street 1:14300 N NORTHSIGHT BLVD STE 217
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3677
Practice Address - Country:US
Practice Address - Phone:520-329-3770
Practice Address - Fax:520-300-7329
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-02
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20-1862175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath