Provider Demographics
NPI:1003413295
Name:FIORILLO, MELANIE LOUISE (NMD)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:LOUISE
Last Name:FIORILLO
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 N 87TH TER UNIT 1B
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2475
Mailing Address - Country:US
Mailing Address - Phone:734-674-0828
Mailing Address - Fax:
Practice Address - Street 1:1646 N LITCHFIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-1253
Practice Address - Country:US
Practice Address - Phone:623-643-9598
Practice Address - Fax:623-478-0960
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20-1905175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath