Provider Demographics
NPI:1114478989
Name:VALENTIN, ANN CHARLOTTE MARGARETA (NMD)
Entity Type:Individual
Prefix:DR
First Name:ANN CHARLOTTE
Middle Name:MARGARETA
Last Name:VALENTIN
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:MS
Other - First Name:ANN-CHARLOTTE
Other - Middle Name:MARGARETA
Other - Last Name:ENDAHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:343 S MONTEZUMA ST
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-7022
Mailing Address - Country:US
Mailing Address - Phone:928-445-2900
Mailing Address - Fax:928-445-2053
Practice Address - Street 1:343 S MONTEZUMA ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86303-7022
Practice Address - Country:US
Practice Address - Phone:928-445-2900
Practice Address - Fax:928-445-2053
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16-1588175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath