Provider Demographics
NPI:1780335257
Name:ABDELNOUR, RYAN ERIC (ND)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:ERIC
Last Name:ABDELNOUR
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11375 E SAHUARO DR APT 1048
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4083
Mailing Address - Country:US
Mailing Address - Phone:540-353-8002
Mailing Address - Fax:
Practice Address - Street 1:11375 E SAHUARO DR APT 1048
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-4083
Practice Address - Country:US
Practice Address - Phone:540-353-8002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-15
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21-1661175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath