Individual
DEANDRA L. DAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1950 W FRYE RD, CHANDLER, AZ 85224-6255
(480) 895-9555
(480) 895-9494
Mailing address
1950 W FRYE RD, CHANDLER, AZ 85224-6255
(480) 895-9555
(480) 895-9494
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN128051
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236276
—
AZ
Enumeration date
08/18/2010
Last updated
12/29/2021
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