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

Raven Alexsis Verville, PA

Individual provider Physician Assistant · NPI 1194655407

Raven Alexsis Verville, PA is a Physician Assistant in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

19555 N 59th Ave
Glendale, AZ 85308-6813
Phone: (623) 572-3200
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (AZ)

Record details

NPI number1194655407
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 19, 2026

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