ELIZABETH DEDERICK NURSING PC NPI 1982463584

NPI Information

  • NPI: 1982463584
  • Provider Name: ELIZABETH DEDERICK, NURSING, PC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 60547 STAGEMANS RD
    LANDERS, CA
    ZIP 92285
  • Phone: (760) 861-0368

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NPI Details

ELIZABETH DEDERICK, NURSING, PC is a family nurse practitioner in Landers, CA. ELIZABETH DEDERICK, NURSING, PC NPI is 1982463584. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60547 STAGEMANS RD
LANDERS, CA
ZIP 92285-402
Phone: (760) 861-0368
Fax: (760) 273-0921

The provider's authorized official is Elizabeth Anne Dederick .
The authorized official title is Ceo and has the following contact phone number (760) 910-1112.

The enumeration date for this NPI number is 3/15/2024 and was last updated on 11/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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