MEDICARE: MICHELLE KAYE DAWSON-HARREL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	033842	NY
2	363A00000X	Physician Assistant	66393	CA
3	363A00000X	Physician Assistant	14264659-1206	UT
4	363A00000X	Physician Assistant	50.009982RX	OH
5	363A00000X	Physician Assistant	6200	AZ
6	363A00000X	Physician Assistant	0010-16221	NC
7	363A00000X	Physician Assistant	0110011706	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376913194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE KAYE DAWSON-HARREL PA-C

Provider Business Mailing Address
First Line	:	2550 N THUNDERBIRD CIR
Second Line	:	SUITE 303
City	:	MESA
State	:	AZ
Zip	:	85215-1214
Country	:	US
Telephone Number	:	480-435-9132
Fax Number	:	480-776-0025

Provider Business Practice Location Address
First Line	:	3623 CROSSINGS DR STE 206
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86305-7101
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2015
Last Update Date	:	02/12/2026

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Directions to “ MICHELLE KAYE DAWSON-HARREL PA-C” Practice Location

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