Organization
PEDREGOSA-DY HOLISTIC WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN DY (NURSE PRACTITIONER)
(480) 280-8690
Entity
Organization
Contact information
Practice address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(480) 280-8690
Mailing address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(480) 280-8690
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
04/01/2024
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