Organization
ELIZABETH DEDERICK, NURSING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANNE DEDERICK FNP (CEO)
(760) 910-1112
Entity
Organization
Contact information
Practice address
60547 STAGEMANS RD, LANDERS, CA 92285-9402
(760) 861-0368
(760) 273-0921
Mailing address
PO BOX 3952, LANDERS, CA 92285-0952
(760) 910-1112
(760) 273-0921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
11/21/2024
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