Healthcare Provider Details

I. General information

NPI: 1912832304
Provider Name (Legal Business Name): MELISSA LEANN RABE OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA LEANN ASKEW

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21227 S ELLSWORTH LOOP RD STE 102
QUEEN CREEK AZ
85142-9869
US

IV. Provider business mailing address

2755 S ESTRELLA PKWY APT 122
GOODYEAR AZ
85338-3065
US

V. Phone/Fax

Practice location:
  • Phone: 210-289-8235
  • Fax:
Mailing address:
  • Phone: 701-500-2773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: