Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Julie Ann Ty Mavez, PA-C

Individual provider Physician Assistant · NPI 1952253759

Julie Ann Ty Mavez, PA-C is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026
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

9520 W Palm Ln Ste 150A
Phoenix, AZ 85037-4454
Phone: (602) 584-5444
Fax: (602) 584-6202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12048 (AZ)

Record details

NPI number1952253759
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 12, 2026
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026

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