Individual
RAVEN ALEXSIS VERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3200
Mailing address
945 E PLAYA DEL NORTE DR UNIT 1005, TEMPE, AZ 85288-2276
(530) 605-9528
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AZ
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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