Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY LARISSA DEDEA, PHARMD, PA-C
Active Sole ProprietorAMY LARISSA DEDEA, PHARMD, PA-C is a Physician Assistant healthcare provider located in DEWEY, Arizona. NPI 1861506370 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DEWEY, AZ
Registration Details
- NPI Number
- 1861506370
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2006 (19.84185439863 yrs)
- Last Updated
- Sep 18, 2019
- Licenses
-
S018219 (AZ)PS38830 (FL)2405 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12075 AZ-69DEWEY, AZ, 86327Browse AZ providers · Browse ZIP 86327
- Phone
- 9287721673
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Pharmacist
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in DEWEY, AZ
| Name | Credential | NPI |
|---|---|---|
| TATYANA ERDMANN | P.A. | 1073659611 |
| CANDACE OEN | P. A. -C. | 1508060930 |
| AUSTIN JOHN HARMON | PA-S | 1528758265 |
| ALYSSA WAHLSTROM | PA-C | 1588492151 |
| MIRYAM ROSE KNIGGE | PA | 1396530697 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.