Provider Demographics
NPI:1134533607
Name:OLMSTED, VALERIE (NMD)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:OLMSTED
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 N MAIN ST
Mailing Address - Street 2:STE.D-2
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-3649
Mailing Address - Country:US
Mailing Address - Phone:928-592-4400
Mailing Address - Fax:
Practice Address - Street 1:753 N MAIN ST
Practice Address - Street 2:STE.D-2
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-3649
Practice Address - Country:US
Practice Address - Phone:928-592-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ00-566175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath