Provider Demographics
NPI:1447891437
Name:JANUARY, CHELSEA (ND)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:JANUARY
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 1:13470 N 83RD AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4150
Mailing Address - Country:US
Mailing Address - Phone:623-444-4482
Mailing Address - Fax:
Practice Address - Street 1:13470 N 83RD AVE STE 302
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4150
Practice Address - Country:US
Practice Address - Phone:623-444-4482
Practice Address - Fax:623-328-8402
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ191834175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE