Individual
DERIK TYLER GOTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5039
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
11026133
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
317291
AZ
367500000X
Certified Registered Nurse Anesthetist
4052929
KY
367500000X
Certified Registered Nurse Anesthetist
APRN11026133
FL
367500000X
Certified Registered Nurse Anesthetist
D185139
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120382200
—
FL
Enumeration date
04/19/2023
Last updated
04/09/2026
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