Provider Demographics
NPI:1679719298
Name:FINE, ANNE MARIE (NMD)
Entity Type:Individual
Prefix:DR
First Name:ANNE MARIE
Middle Name:
Last Name:FINE
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 1:12162 E PARADISE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-3341
Mailing Address - Country:US
Mailing Address - Phone:480-657-8633
Mailing Address - Fax:480-657-8696
Practice Address - Street 1:12162 E PARADISE DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-3341
Practice Address - Country:US
Practice Address - Phone:480-657-8633
Practice Address - Fax:480-657-8696
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-02
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ01-632175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath