Provider Demographics
NPI:1255143731
Name:CHETCUTI, NOX HARRIS (LAC)
Entity type:Individual
Prefix:DR
First Name:NOX
Middle Name:HARRIS
Last Name:CHETCUTI
Suffix:
Gender:X
Credentials:LAC
Other - Prefix:
Other - First Name:STEPHANI
Other - Middle Name:HARRIS
Other - Last Name:SARNOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1707 N BEAVER ST
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-1301
Mailing Address - Country:US
Mailing Address - Phone:928-853-9403
Mailing Address - Fax:
Practice Address - Street 1:2708 N 4TH ST STE F-2
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-1830
Practice Address - Country:US
Practice Address - Phone:928-526-3365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0959171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist