Provider Demographics
NPI:1689126591
Name:GLENN, JULIA (PA-C)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:GLENN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14416 W. MEEKER BLVD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375
Mailing Address - Country:US
Mailing Address - Phone:623-876-3880
Mailing Address - Fax:623-285-2710
Practice Address - Street 1:14416 W. MEEKER BLVD
Practice Address - Street 2:SUITE 301
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375
Practice Address - Country:US
Practice Address - Phone:623-876-3880
Practice Address - Fax:623-285-2710
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2025-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ6213363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant