Provider Demographics
NPI:1093468621
Name:FRANKSON, MARJA (FNTP)
Entity Type:Individual
Prefix:
First Name:MARJA
Middle Name:
Last Name:FRANKSON
Suffix:
Gender:F
Credentials:FNTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 E ACOMA DR UNIT 1014
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-2707
Mailing Address - Country:US
Mailing Address - Phone:602-326-6877
Mailing Address - Fax:
Practice Address - Street 1:7009 E ACOMA DR UNIT 1014
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-2707
Practice Address - Country:US
Practice Address - Phone:602-326-6877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3552133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education