Provider Demographics
NPI:1235768466
Name:DARBY, SUSAN ELIZABETH RANDLE (NMD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ELIZABETH RANDLE
Last Name:DARBY
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:DR
Other - First Name:SUZANNE
Other - Middle Name:ELIZABETH RANDLE
Other - Last Name:DARBY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NMD
Mailing Address - Street 1:20801 N SCOTTSDALE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-7411
Mailing Address - Country:US
Mailing Address - Phone:480-571-0794
Mailing Address - Fax:
Practice Address - Street 1:20801 N SCOTTSDALE RD STE 205
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-7411
Practice Address - Country:US
Practice Address - Phone:480-571-0794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-08
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20-1873175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath