MS. RACHELLE DANA EDDIE PA-C NPI 1225541584

NPI Information

NPI: 1225541584
Provider Name: MS. RACHELLE DANA EDDIE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: TUBA CITY REGIONAL HEALTH CARE CORPORATION

PECOS Registration: Yes

Address:
12880 THREE MAN TRL
FLAGSTAFF, AZ
ZIP 86004
Phone: (928) 707-0878
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MS. Rachelle Dana Eddie, PA-C is a medical physician assistant in Flagstaff, AZ with 7 years of experience. MS. Rachelle Dana Eddie, PA-C NPI is 1225541584. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12880 THREE MAN TRL
FLAGSTAFF, AZ
ZIP 86004-004
Phone: (928) 707-0878

The NPI 1225541584 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2017 and was last updated on 11/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	6867	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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