Individual provider · Type 1 NPI

Heather Moutvic

Physician Assistant · Prescott, AZ

NPI number 1316718737 Active

Practice location

864 Dougherty St
Prescott, AZ 86305-1841

Call (928) 778-9667 Map

Mailing address

444 E Roosevelt Rd Ste 256
Lombard, IL 60148-4630

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10252 (AZ)

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 1316718737

Heather Moutvic's National Provider Identifier is 1316718737, issued on Jan 15, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Prescott, AZ. The record was last updated on Jul 18, 2025.