Provider Demographics
NPI:1134455975
Name:DUFFY, NATISHA FRANCES
Entity type:Individual
Prefix:MISS
First Name:NATISHA
Middle Name:FRANCES
Last Name:DUFFY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 63 BOX 285
Mailing Address - Street 2:2 MILES W OF HWY 87 MP 380
Mailing Address - City:WINSLOW
Mailing Address - State:AZ
Mailing Address - Zip Code:86047-9420
Mailing Address - Country:US
Mailing Address - Phone:928-286-7840
Mailing Address - Fax:
Practice Address - Street 1:HC 63 BOX 285
Practice Address - Street 2:2 MILES W OF HWY 87 MP 380
Practice Address - City:WINSLOW
Practice Address - State:AZ
Practice Address - Zip Code:86047-9420
Practice Address - Country:US
Practice Address - Phone:928-286-7840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath