Provider Demographics
NPI:1528210895
Name:WOELLER, DEANNA L (NMD)
Entity Type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:L
Last Name:WOELLER
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 1:451 N MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85120-3622
Mailing Address - Country:US
Mailing Address - Phone:480-678-5215
Mailing Address - Fax:602-441-5459
Practice Address - Street 1:3141 S MCCLINTOCK DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5600
Practice Address - Country:US
Practice Address - Phone:480-968-5673
Practice Address - Fax:602-441-5459
Is Sole Proprietor?:No
Enumeration Date:2008-10-18
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ08-1070175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath