Organization · Type 2 NPI
My Derm Clinician LLC
Nurse Practitioner · Phoenix, AZ
Practice location
3104 E Indian School Rd Ste 100
Phoenix, AZ 85016-6873
Fax (480) 590-5695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
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About NPI 1932082633
My Derm Clinician LLC's National Provider Identifier is 1932082633, issued on Jul 29, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 23, 2026.