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

Individual provider Medical Physician Assistant · NPI 1528586641

Renae Slobodny, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices with Center for Dermatology PLLC, a 69-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
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

4512 N 40th St
Phoenix, AZ 85018-3604
Phone: (602) 954-7546
Fax: (602) 952-2941
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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 6797 (AZ)

Record details

NPI number1528586641
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESMarch 19, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Center For Dermatology Pllc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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