Provider Demographics
NPI:1922341288
Name:EISCHENS, SHAWNA (NMD)
Entity Type:Individual
Prefix:
First Name:SHAWNA
Middle Name:
Last Name:EISCHENS
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 1:8080 E GELDING DR. SUITE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:602-836-4673
Mailing Address - Fax:888-267-8406
Practice Address - Street 1:8080 E GELDING DR. SUITE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:602-836-4673
Practice Address - Fax:888-267-8406
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13-1360175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ13-1360OtherAZ NATUROPATHIC MEDICAL BOARD