Individual provider · Type 1 NPI

Elease Kathryn Tewalt

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1972431377 Active

Practice location

4411 N 99th Ave Unit 3073
Phoenix, AZ 85037-1381

Call (480) 772-3402 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972431377

Elease Kathryn Tewalt's National Provider Identifier is 1972431377, issued on May 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on May 13, 2026.