Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julie Lynn Taubert Hervatin, PA-C

Individual provider Physician Assistant · NPI 1548597206

Julie Lynn Taubert Hervatin, PA-C is a Physician Assistant in Peoria, Arizona. Qualified in 2009, 17 years ago. Practices with Southwest Skin Specialists LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

14155 N 83rd Ave #110
Peoria, AZ 85381-5639
Phone: (623) 215-0911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4557 (AZ)

Record details

NPI number1548597206
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 17, 2009
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southwest Skin Specialists Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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