Provider Demographics
NPI:1225657323
Name:BORAKOWSKI, NATALYA (ND)
Entity Type:Individual
Prefix:
First Name:NATALYA
Middle Name:
Last Name:BORAKOWSKI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10752 N 89TH PL STE 122B
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6743
Mailing Address - Country:US
Mailing Address - Phone:480-567-8180
Mailing Address - Fax:
Practice Address - Street 1:10752 N 89TH PL STE 122B
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6743
Practice Address - Country:US
Practice Address - Phone:480-567-0744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-09
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20-1860175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath