Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julie Ann Ty Mavez

Individual provider Physician Assistant · NPI 1952253759

Julie Ann Ty Mavez is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

188 E Jefferson St Apt 507
Phoenix, AZ 85004-2896
Phone: (619) 761-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (AZ)
Physician Assistant Taxonomy 363A00000X (AZ)

Record details

NPI number1952253759
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

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