Individual provider · Type 1 NPI

Raven Alexsis Verville, PA

Physician Assistant · Glendale, AZ

NPI number 1194655407 Active

Practice location

19555 N 59th Ave
Glendale, AZ 85308-6813

Call (623) 572-3200 Map

Mailing address

945 E Playa Del Norte Dr Unit 1005
Tempe, AZ 85288-2276

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194655407

Raven Alexsis Verville, PA's National Provider Identifier is 1194655407, issued on May 20, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glendale, AZ. The record was last updated on May 20, 2026.