Individual provider · NPI-1
Dr. Kelsey Lynn Barraza, ND
Naturopath · Gilbert, AZ
NPI number1043090905
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1043090905
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelsey Lynn Barraza
- Credential
- ND
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2023
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | 23-1808 | AZ | Yes |
| 175F00000X | Naturopath | 231808 | AZ |
Practice location
3150 E Ray Rd Apt 529Gilbert, AZ 85296-1227
Phone 919-518-7115 · Fax 888-802-1404
Mailing address
3150 E Ray Rd Apt 529Gilbert, AZ 85296-1227
Phone 919-518-7115 · Fax 888-802-1404
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