UDUAKOBONG COLUMBUS DYER


Address: 9020 W Thomas Rd, Phoenix, AZ 85037-3234
Phone: 6027150110

UDUAKOBONG COLUMBUS DYER (NPI# 1841833779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841833779
Entity Type Individual
Full Name UDUAKOBONG COLUMBUS DYER
Credential FNP
Practice Address 9020 W Thomas Rd
Phoenix
AZ 85037-3234
Mailing Address 4220 N 20th Ave
Phoenix
AZ 85015-5124
Practice Telephone 6027150110
Practice Fax Number 6023146403
Mailing Telephone 6028899401
Mailing Fax Number 6028899404
Enumeration Date 2019-10-23
Last Update Date 2020-09-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
233409 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 079412 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
4220 N 20th Ave, Phoenix, AZ 850155124 6028899401 6028899404

Office Location

Street Address 9020 W THOMAS RD
City PHOENIX
State AZ
Zip Code 85037-3234

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497771265 Medimin Inc Clinic/Center 9020 W Thomas Rd, Phoenix, AZ 85037 2006-07-14
1770148322 Equality Medical Group LLC Clinic/Center 9020 W Thomas Rd, Phoenix, AZ 85037-3234 2019-05-08
1801190723 Cigna Healthcare of Arizona, Inc. Clinic/Center 9020 W Thomas Rd, Phoenix, AZ 85037-3234 2011-01-06
1902918998 Bashas Inc Pharmacy 9020 W Thomas Rd, Phoenix, AZ 85037-3234 2006-08-31

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NPI Name Taxonomy Address Enumeration
1356969828 Live Well Assisted Living LLC Psychiatric Residential Treatment Facility 9210 W Loow Bend Lane, Phoenix, AZ 85037 2020-07-10
1770126260 Medical Management Systems, Inc. Assisted Living Facility 2209 N. Rascon Loop, Phoenix, AZ 85037 2019-10-28
1346800760 Sonoran Sky Family Dentistry Dentist 9515 West Camelback Road, Suite #120, Phoenix, AZ 85037 2019-06-18
1578025136 Jennifer Natasha Kunz Nurse Practitioner Cleanslate, 8410 W. Thomas Rd, Phoenix, AZ 85037 2019-04-03
1740751320 Mariposa Phoenix Al Partners, Lp Assisted Living Facility 3100 N 91st Avenue, Phoenix, AZ 85037 2018-12-08
1417442799 Prop Anesthesia LLC Nurse Anesthetist, Certified Registered 9250 W Thomas Rd Ste 220, Phoenix, AZ 85037 2018-06-28
1922522242 Tree of Life Mental Health Systems, LLC Behavior Technician 8400 W. Virginia, #1138, Phoenix, AZ 85037 2017-07-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407456783 Brenna Michelle Clements Nurse Practitioner 3226 W Donatello Dr, Phoenix, AZ 85086-2200 2020-10-27
1932712825 Grace Wanjiru Karanja Adams Nurse Practitioner 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 2020-08-28
1649895574 Jozzette Elaine Rubio Nurse Practitioner 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 2020-06-16
1396360749 Ulivvo Inc. Nurse Practitioner 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 2020-06-11
1568087955 Christa Ann Colvin Nurse Practitioner 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 2020-06-10
1497378541 Sharon Uchechi Joshua Nurse Practitioner 9117 W Virginia Ave, Phoenix, AZ 85037-4233 2020-05-23
1992326102 Ashley Elizabeth Hall Nurse Practitioner 15810 N 18th St, Phoenix, AZ 85022-3302 2020-04-28
1750916797 Sebastian Freeman Smith Nurse Practitioner 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 2020-03-10
1295365724 Jessica Veasy Nurse Practitioner 7251 N 23rd Ave, Phoenix, AZ 85021-7714 2020-01-23
1568092526 Anuradha Lingamneni Nurse Practitioner 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 2020-01-18
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Competitor

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City PHOENIX
Zip Code 85037

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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