Provider Demographics
NPI:1164047783
Name:NAPULI, ENDUREN ORTIZ
Entity Type:Individual
Prefix:
First Name:ENDUREN
Middle Name:ORTIZ
Last Name:NAPULI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 HAVASUPAI BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-3122
Mailing Address - Country:US
Mailing Address - Phone:702-401-5288
Mailing Address - Fax:
Practice Address - Street 1:2200 HAVASUPAI BLVD
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-3122
Practice Address - Country:US
Practice Address - Phone:928-505-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-09
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPL10506235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist