Provider Demographics
NPI:1679282305
Name:BLUNT, DALIA ELIZABETH (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:DALIA
Middle Name:ELIZABETH
Last Name:BLUNT
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1242 W AVALON CANYON DR
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-6632
Mailing Address - Country:US
Mailing Address - Phone:480-251-0430
Mailing Address - Fax:
Practice Address - Street 1:8415 N PIMA RD STE 210
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4485
Practice Address - Country:US
Practice Address - Phone:480-291-6340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZA-3404645171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach