Individual
MR. DEREK B EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
1492 S MILL AVE STE 212, TEMPE, AZ 85281-5664
(480) 410-4128
(480) 410-4130
Mailing address
1675 E MORTEN AVE UNIT 1120, PHOENIX, AZ 85020-4639
(801) 694-5382
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
305255
AZ
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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