Provider Demographics
NPI:1609018977
Name:COATS, MELISSA BRADBURY (ND)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:BRADBURY
Last Name:COATS
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 1:10250 N 92ND ST STE 114
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4518
Mailing Address - Country:US
Mailing Address - Phone:480-990-1111
Mailing Address - Fax:480-990-1110
Practice Address - Street 1:10250 N 92ND ST STE 114
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4518
Practice Address - Country:US
Practice Address - Phone:480-990-1111
Practice Address - Fax:480-990-1110
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1101175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath