Provider Demographics
NPI:1508192113
Name:FUJII, KRISTEN EMI (NMD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:EMI
Last Name:FUJII
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 1:843 S LONGMORE
Mailing Address - Street 2:APT 2134
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-3153
Mailing Address - Country:US
Mailing Address - Phone:808-457-9100
Mailing Address - Fax:
Practice Address - Street 1:1620 W UNIVERSITY DR
Practice Address - Street 2:SUITE 11
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-5359
Practice Address - Country:US
Practice Address - Phone:480-969-6699
Practice Address - Fax:480-969-7788
Is Sole Proprietor?:No
Enumeration Date:2009-11-02
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1141175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath