Individual provider · Type 1 NPI
Ian Pedregosa Dy
Family Nurse Practitioner · Phoenix, AZ
NPI number
1780288852
Active
Practice location
815 E Rose Ln Unit 117
Phoenix, AZ 85014-1915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 250388 (AZ) |
| Family Nurse Practitioner Primary | 363LF0000X | 250388 (AZ) |
Family Nurse Practitioner: Definition to come...
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About NPI 1780288852
Ian Pedregosa Dy's National Provider Identifier is 1780288852, issued on Nov 30, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 8, 2024.