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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RACHELLE-MARIE TISDALE, DO

Active

RACHELLE-MARIE TISDALE, DO is a Student (Health Education/Training) healthcare provider located in MESA, Arizona. NPI 1104322585 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · MESA, AZ

Registration Details

NPI Number
1104322585
Provider Type
Individual
Gender
Female
NPI Issued
Apr 4, 2018 (8.3185909406416 yrs)
Last Updated
Jul 13, 2022

Practice Information

Address
10238 E HAMPTON AVE STE 508
MESA, AZ, 852093321
Browse AZ providers · Browse ZIP 85209
Phone
4803586187
Fax
4808338313
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in MESA, AZ

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.