Provider Demographics
NPI:1538562004
Name:FOX, JOELLE (ND)
Entity type:Individual
Prefix:
First Name:JOELLE
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 W WARNER RD
Mailing Address - Street 2:SUITE 23
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-1674
Mailing Address - Country:US
Mailing Address - Phone:480-237-3889
Mailing Address - Fax:480-553-9797
Practice Address - Street 1:2905 W WARNER RD
Practice Address - Street 2:SUITE 23
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1674
Practice Address - Country:US
Practice Address - Phone:480-237-3889
Practice Address - Fax:480-553-9797
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-29
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14-1451175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath