Provider Demographics
NPI:1598534679
Name:ADEMI, DORINA (NMD)
Entity Type:Individual
Prefix:DR
First Name:DORINA
Middle Name:
Last Name:ADEMI
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 1:785 N ARROWHEAD DR APT 2
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-3597
Mailing Address - Country:US
Mailing Address - Phone:860-817-9546
Mailing Address - Fax:
Practice Address - Street 1:785 N ARROWHEAD DR APT 2
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-3597
Practice Address - Country:US
Practice Address - Phone:860-817-9546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath