Individual provider · Type 1 NPI

Elyse Renee Broucek

Physician Assistant · Phoenix, AZ

NPI number 1770180960 Active

Practice location

4045 E Bell Rd Ste 125
Phoenix, AZ 85032-2238

Other practice locations

  • 13843 W Meeker Blvd, Sun City West, AZ 85375-5285 · (623) 584-1325
  • 14506 W Granite Valley Dr Ste 220, Sun City West, AZ 85375-6013 · (623) 584-1325

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
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 1770180960

Elyse Renee Broucek's National Provider Identifier is 1770180960, issued on Oct 1, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 4, 2025.