Provider Demographics
NPI:1952514317
Name:HARDING, AMY ELIZABETH (NMD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZABETH
Last Name:HARDING
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:ELIZABETH
Other - Last Name:GOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NMD
Mailing Address - Street 1:10645 N. ORACLE ROAD, SUITE 121
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737
Mailing Address - Country:US
Mailing Address - Phone:623-200-9374
Mailing Address - Fax:602-788-9000
Practice Address - Street 1:31344 S EASTVIEW ROAD
Practice Address - Street 2:
Practice Address - City:MARANA
Practice Address - State:AZ
Practice Address - Zip Code:85658
Practice Address - Country:US
Practice Address - Phone:623-200-9374
Practice Address - Fax:602-788-9000
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175F00000X
AZ06-969175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath