Individual
TERA CRISALIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1006 E GUADALUPE RD, TEMPE, AZ 85283-3047
(480) 838-4296
(480) 820-1275
Mailing address
3055 N RED MTN UNIT 220, MESA, AZ 85207-1059
(208) 201-5111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3834
AZ
363A00000X
Physician Assistant
PA-530
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341903
—
AZ
Enumeration date
11/06/2006
Last updated
07/13/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us