NPI

Deidra Amico

NPI 1639855331

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
CPT, CET
Type
Individual
Enumeration date
2023-06-26
Last updated
2023-06-30

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Specialties

Licenses

License NJ
R9H3P3P4

Location

Practice location
45096 W Buckhorn Trl
City
Maricopa AZ
Postal code
85139-4171
Phone
(520) 431-2518

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Maricopa, AZ. 822 records in the public file.

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