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

Rachel Boullion

Individual provider Medical Physician Assistant · NPI 1639092463

Rachel Boullion is a Medical Physician Assistant in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

5940 W Union Hills Dr Ste D100
Glendale, AZ 85308-1361
Phone: (602) 978-2500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 11960 (AZ)

Record details

NPI number1639092463
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2026
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address5940 W Union Hills Dr Ste D100, Glendale, AZ 85308-1361

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