Individual
DERIC H NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5601 W EUGIE AVE STE 100, GLENDALE, AZ 85304-1256
(602) 865-4510
(602) 865-6100
Mailing address
5601 W EUGIE AVE STE 100, GLENDALE, AZ 85304-1256
(602) 865-4510
(602) 865-6100
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
009320
AZ
207XP3100X
Pediatric Orthopaedic Surgery Physician
20A17398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699014464
—
CA
Enumeration date
02/13/2013
Last updated
06/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us