Individual provider · Type 1 NPI
Desiree Nicole Eden
Specialist · Prescott, AZ
NPI number
1972624518
Active
Practice location
2345 E Granite Dells Rd
Prescott, AZ 86301-8432
Mailing address
PO Box 2421
Prescott, AZ 86302-2421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1972624518
Desiree Nicole Eden's National Provider Identifier is 1972624518, issued on Apr 2, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Prescott, AZ. The record was last updated on Jul 8, 2007.