Individual
EMMA DURIVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
8300 N HAYDEN RD STE E102, SCOTTSDALE, AZ 85258-2589
(480) 305-2033
(480) 305-2034
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
DA13444
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA13444
AZ STATE DISPENSING LICENSE
AZ
Enumeration date
10/04/2021
Last updated
10/05/2022
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