Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elease Kathryn Tewalt

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972431377

Elease Kathryn Tewalt is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

4411 N 99th Ave Unit 3073
Phoenix, AZ 85037-1381
Phone: (480) 772-3402
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (AZ)

Record details

NPI number1972431377
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2026
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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