Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Glennise Daneen Pratt, PA-C

Individual provider Physician Assistant · NPI 1447544630

Mrs. Glennise Daneen Pratt, PA-C is a Physician Assistant in Wildomar, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
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

36320 Inland Valley Drive 307
Wildomar, CA 92595-9083
Phone: (951) 600-0110
Fax: (951) 600-1489
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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 PA21581 (CA)

Record details

NPI number1447544630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 5, 2011
Last updated in NPPESFebruary 11, 2016

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