Provider Demographics
NPI:1366037806
Name:WHITTEN, AARON (NMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:WHITTEN
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 W BOSTON ST APT 1100
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-8152
Mailing Address - Country:US
Mailing Address - Phone:480-275-0323
Mailing Address - Fax:
Practice Address - Street 1:7025 E MAYO BLVD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-5181
Practice Address - Country:US
Practice Address - Phone:480-563-9966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-06
Last Update Date:2021-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath