Individual provider · Type 1 NPI

Glennise Daneen Pratt, PA-C

Physician Assistant · Wildomar, CA

NPI number 1447544630 Active

Practice location

36320 Inland Valley Drive, 307
Wildomar, CA 92595-9083

Fax (951) 600-1489

Mailing address

36320 Inland Valley Dr, 307
Wildomar, CA 92595-7512

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA21581 (CA)

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 1447544630

Glennise Daneen Pratt, PA-C's National Provider Identifier is 1447544630, issued on Jun 5, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wildomar, CA. The record was last updated on Feb 11, 2016.