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

Mrs. Elizabeth Ann Penfold, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1639354251

Mrs. Elizabeth Ann Penfold, PHYSICIANASSISTANT is a Physician Assistant in Phoenix, Arizona. Qualified in 2007, 19 years ago. Practices with Southwest Skin Specialists LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2008
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Practice location Address checks out

740 E Highland Ave Ste 101
Phoenix, AZ 85014-3609
Phone: (602) 264-9044
Fax: (602) 264-0057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3730 (AZ)

Record details

NPI number1639354251
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 2, 2008
Last updated in NPPESMay 24, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Southwest Skin Specialists Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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