Healthcare Provider Details

I. General information

NPI: 1144136599
Provider Name (Legal Business Name): RACHEL REMUND PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8608 N 59TH AVE
GLENDALE AZ
85302-5404
US

IV. Provider business mailing address

8608 N 59TH AVE
GLENDALE AZ
85302-5404
US

V. Phone/Fax

Practice location:
  • Phone: 623-979-2565
  • Fax: 623-979-2463
Mailing address:
  • Phone: 623-979-2565
  • Fax: 623-979-2463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11995
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number11995
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: