Provider Demographics
NPI:1790326536
Name:SCOOLER, ROSA-ELISE (ND)
Entity Type:Individual
Prefix:DR
First Name:ROSA-ELISE
Middle Name:
Last Name:SCOOLER
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 1:2855 E BROWN RD STE 17
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-4216
Mailing Address - Country:US
Mailing Address - Phone:602-892-3754
Mailing Address - Fax:
Practice Address - Street 1:2855 E BROWN RD STE 17
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-4216
Practice Address - Country:US
Practice Address - Phone:602-892-3754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-02
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19-1826175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath