Individual provider · Type 1 NPI

Julie Ann Ty Mavez, PA-C

Physician Assistant · Phoenix, AZ

NPI number 1952253759 Active

Practice location

9520 W Palm Ln Ste 150A
Phoenix, AZ 85037-4454

Fax (602) 584-6202

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12048 (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 1952253759

Julie Ann Ty Mavez, PA-C's National Provider Identifier is 1952253759, issued on Feb 12, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 29, 2026.