Rumbidzai Matilda Mudzonga, NMD
Individual provider Active NPI Naturopath · Tempe, AZ
NPI 1134909286 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1134909286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 23-1817 (AZ)
- Practice address
- 905 S Lola LN Apt 1
Tempe, AZ 85281-7727 - Phone
- (480) 436-1549
- NPI assigned
- Oct 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-1817 | AZ | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 23-1817 | AZ | Yes |
Addresses
Primary practice location
905 S Lola LN Apt 1
Tempe, AZ 85281-7727
Mailing address
905 S Lola LN Apt 1
Tempe, AZ 85281-7727
Phone (480) 387-1499
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.