Provider Demographics
NPI:1164008603
Name:DUNNING, MARESHAH (NMD)
Entity Type:Individual
Prefix:DR
First Name:MARESHAH
Middle Name:
Last Name:DUNNING
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 1:2150 S CHOLLA
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-6503
Mailing Address - Country:US
Mailing Address - Phone:310-918-2955
Mailing Address - Fax:
Practice Address - Street 1:2152 E BROADWAY RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1751
Practice Address - Country:US
Practice Address - Phone:480-970-0000
Practice Address - Fax:480-970-0003
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20-1938175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath