Provider Demographics
NPI:1669549929
Name:SABER, DEEANN GRIMES (ND)
Entity type:Individual
Prefix:MRS
First Name:DEEANN
Middle Name:GRIMES
Last Name:SABER
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 1:3861 NORTH FIRST AVENUE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-1301
Mailing Address - Country:US
Mailing Address - Phone:520-209-1755
Mailing Address - Fax:520-798-2468
Practice Address - Street 1:3861 NORTH FIRST AVENUE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-1301
Practice Address - Country:US
Practice Address - Phone:520-209-1755
Practice Address - Fax:520-798-2468
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10-1203175F00000X, 175L00000X
WANT60163126175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA60172635OtherUBI
AZP15997029OtherAZCORP NUMBER
AZ10-1203OtherNATUROPATHIC DOCTOR LICENSE
WANT60163126OtherND LICENSE WA