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

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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.