Provider Demographics
NPI:1063391738
Name:TREJO, RECHELLE MCRAE (FNP)
Entity type:Individual
Prefix:
First Name:RECHELLE
Middle Name:MCRAE
Last Name:TREJO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3126 S COYOTE CANYON CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-2021
Mailing Address - Country:US
Mailing Address - Phone:480-677-0183
Mailing Address - Fax:
Practice Address - Street 1:3875 E WILLIAMS FIELD RD STE 301
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-5716
Practice Address - Country:US
Practice Address - Phone:480-677-0183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZF08250520363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily