Individual
MELANIE NICHOLE BEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 784-6200
(520) 784-6109
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10410
AZ
363AM0700X
Medical Physician Assistant
10410
AZ
363AS0400X
Surgical Physician Assistant
Primary
10410
AZ
363AS0400X
Surgical Physician Assistant
199750
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2021
Last updated
10/30/2024
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