Provider Demographics
NPI:1518445931
Name:ORLOWSKI, JENNIFER (ND)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:ORLOWSKI
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:PO BOX 12192
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-0037
Mailing Address - Country:US
Mailing Address - Phone:315-451-2522
Mailing Address - Fax:315-451-2622
Practice Address - Street 1:12024 S 45TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-2436
Practice Address - Country:US
Practice Address - Phone:315-451-2522
Practice Address - Fax:315-451-2622
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ05-861175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath