Provider Demographics
NPI:1043892250
Name:RABARA, MICHELLE JOY SOLIVEN (PA-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE JOY
Middle Name:SOLIVEN
Last Name:RABARA
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:651 W COOLIDGE ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-2718
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:337 E CORONADO RD STE 201
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1583
Practice Address - Country:US
Practice Address - Phone:480-712-4600
Practice Address - Fax:602-428-7045
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2023-10-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant