AMY LARISSA DEDEA PHARMD, PA-C
NPI 1861506370
Physician Assistant in Dewey, AZ

Active since August 19, 2006

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Amy Larissa Dedea Pharmd, Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY LARISSA DEDEA PHARMD, PA-C (NPI 1861506370) is an individual physician assistant in Dewey, Arizona, licensed in Connecticut (2405) and active in the NPI registry since August 2006. She maintains a secondary practice location in Flagstaff.

NPPES Registry Identity

NPI1861506370
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY LARISSA DEDEACredential: PHARMD, PA-C
Location Address12075 AZ-69Dewey, AZ 86327
Mailing Address85 Canyon TrlSedona, AZ 86351-7705 · (928) 773-2525
Sole ProprietorYes
Enumeration DateAugust 19, 2006
Last NPPES UpdateSeptember 18, 2019
NPI 1861506370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CT · 2405
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPharmacistTaxonomy 183500000X · License S018219 (AZ), PS38830 (FL)
12075 AZ-69, Dewey, AZ 86327

Secondary Practice Location 1

Location 11200 N Beaver St, ATTN: INPATIENT PHARMACYFlagstaff, AZ 86001-3118 · Phone (928) 773-2525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Dedea's NPI number?

The NPI number for Amy Dedea is 1861506370. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Amy Dedea located?

Amy Dedea practices at 12075 Az-69, Dewey, AZ 86327. The listed phone number is (928) 772-1673.

What is Amy Dedea's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Amy Dedea was last updated on September 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.