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

Michelle Hustad

Individual provider Medical Physician Assistant · NPI 1588122923

Michelle Hustad is a Medical Physician Assistant in Peoria, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
Specialties on file
2

Practice location Address checks out

13460 N 94th Dr Ste J1
Peoria, AZ 85381-4264
Phone: (623) 876-8816
Fax: (623) 298-0168
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7365 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 7365 (AZ)

Record details

NPI number1588122923
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 5, 2019
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

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