NPI
Amy Larissa Dedea
NPI 1861506370
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PharmD, PA-C
- Type
- Individual
- Enumeration date
- 2006-08-19
- Last updated
- 2019-09-18
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Specialties
Licenses
- License AZ
- S018219
- License FL
- PS38830
- License CT
- 2405
Location
- Practice location
- 12075 Az-69
- City
- Dewey AZ
- Postal code
- 86327
- Phone
- (928) 772-1673
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.
Nearby
Other NPIs in Dewey, AZ. 83 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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