ELIZABETH DEDERICK, NURSING, PC
NPI 1982463584
Nurse Practitioner - Family in Landers, CA

Active since March 15, 2024
60547 STAGEMANS RD, LANDERS, CA 92285(760) 861-0368(760) 273-0921 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Elizabeth Dederick, Nursing, Pc NPPES

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

ELIZABETH DEDERICK, NURSING, PC (NPI 1982463584) is a healthcare organization registered as a family in Landers, California and active in the NPI registry since March 2024. The organization lists Elizabeth Anne Dederick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982463584
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELIZABETH DEDERICK, NURSING, PC
Location Address60547 STAGEMANS RDLanders, CA 92285-9402
Mailing AddressPo Box 3952Landers, CA 92285-0952 · (760) 910-1112 · Fax (760) 273-0921
Fax(760) 273-0921
Organization SubpartNo
Authorized OfficialElizabeth Anne DederickCeo · (760) 910-1112
Enumeration DateMarch 15, 2024
Last NPPES UpdateNovember 21, 2024
NPPES CertifiedNovember 21, 2024
NPI 1982463584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
60547 STAGEMANS RD, Landers, CA 92285

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Elizabeth Dederick, Nursing, PC's NPI number?

The NPI number for Elizabeth Dederick, Nursing, PC is 1982463584. It was assigned to this organization in the NPPES registry on March 15, 2024.

Where is Elizabeth Dederick, Nursing, PC located?

Elizabeth Dederick, Nursing, PC is located at 60547 Stagemans Rd, Landers, CA 92285. The listed phone number is (760) 861-0368.

What is Elizabeth Dederick, Nursing, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Dederick, Nursing, PC was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.