Provider Demographics
NPI:1265202501
Name:NATIVE STRENGTH NETWORK
Entity type:Organization
Organization Name:NATIVE STRENGTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEMMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:262-933-7685
Mailing Address - Street 1:19415 N 108TH AVE
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85373-3367
Mailing Address - Country:US
Mailing Address - Phone:262-933-7685
Mailing Address - Fax:
Practice Address - Street 1:375 SAN CARLOS AVENUE
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:AZ
Practice Address - Zip Code:85542
Practice Address - Country:US
Practice Address - Phone:928-605-7231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty