Provider Demographics
NPI:1720254360
Name:MADSEN, CHRISTINE HELEN (NMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:HELEN
Last Name:MADSEN
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 1:7950 E ACOMA DR
Mailing Address - Street 2:101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6962
Mailing Address - Country:US
Mailing Address - Phone:480-778-1959
Mailing Address - Fax:489-778-1940
Practice Address - Street 1:7950 E ACOMA DR
Practice Address - Street 2:101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6962
Practice Address - Country:US
Practice Address - Phone:480-778-1959
Practice Address - Fax:489-778-1940
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-04
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ96-479175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath