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

TRACIE BARETELA, PA

Active

TRACIE BARETELA, PA is a Physician Assistant healthcare provider located in DILKON, Arizona. NPI 1699734335 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DILKON, AZ

Registration Details

NPI Number
1699734335
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2006 (20.394613831541 yrs)
Last Updated
Nov 24, 2024
Licenses
PA10005007 (WA)
PA10005007 (WA)
9887 (AZ)

Practice Information

Address
HC 63 BOX 9000
DILKON, AZ, 860479477
Browse AZ providers · Browse ZIP 86047
Phone
9286571000
Fax
9282896229
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant
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.