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

Shantel Tanae Glick, PA-C

Individual provider Physician Assistant · NPI 1841342631

Shantel Tanae Glick, PA-C is a Physician Assistant in Peoria, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

21681 N 77th Ave
Peoria, AZ 85382-2132
Phone: (623) 972-9200
Fax: (623) 972-9209
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AZ3142 (AZ)

Record details

NPI number1841342631
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 18, 2007
Last updated in NPPESMay 20, 2015

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