Provider Demographics
NPI:1629692033
Name:SHULER, RICHELE (PA-C)
Entity Type:Individual
Prefix:
First Name:RICHELE
Middle Name:
Last Name:SHULER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6226 E PIMA ST STE 100
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-7003
Mailing Address - Country:US
Mailing Address - Phone:520-298-9278
Mailing Address - Fax:
Practice Address - Street 1:6226 E PIMA ST STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-7003
Practice Address - Country:US
Practice Address - Phone:520-298-9278
Practice Address - Fax:520-296-0991
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-01
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7921363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant