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RAVEN ALEXSIS VERVILLE PA
NPI 1194655407
Physician Assistant in Glendale, AZ

Active since May 20, 2026
19555 N 59TH AVE, GLENDALE, AZ 85308(623) 572-3200 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raven Alexsis Verville Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN ALEXSIS VERVILLE PA (NPI 1194655407) is an individual physician assistant in Glendale, Arizona and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1194655407
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRAVEN ALEXSIS VERVILLECredential: PA
Location Address19555 N 59TH AVEGlendale, AZ 85308-6813
Mailing Address945 E Playa Del Norte Dr Unit 1005Tempe, AZ 85288-2276 · (530) 605-9528
Phone(623) 572-3200
Sole ProprietorNo
Enumeration DateMay 20, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1194655407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
19555 N 59TH AVE, Glendale, AZ 85308
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW WOOD
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (310) 883-8926
ANDREA BLOCK PA-C
Physician Assistant
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
ALIYA IMAN HABIB
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
HUY VUONG DO
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
SYED G MOHIUDDIN PA-C
Physician Assistant
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
VERONICA LYNNE BUSH
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200
CHRISTOPHER LEIGH FULLMER
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (653) 572-3200
ALEXIS CATURAN
Student in an Organized Health Care Education/Training Program
19555 N 59TH AVE
GLENDALE, AZ 85308
Maricopa County (623) 572-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Verville's NPI number?

The NPI number for Raven Verville is 1194655407. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Raven Verville located?

Raven Verville practices at 19555 N 59th Ave, Glendale, AZ 85308. The listed phone number is (623) 572-3200.

What is Raven Verville's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Raven Verville was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.