IndividualActive
Derek Eason, AGNP-C
NPI 1063272334 · Primary Care Nurse Practitioner · Tempe, AZ
Provider details
- NPI number
- 1063272334
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 305255 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1492 S Mill Ave Ste 212
Tempe, AZ 85281-5664
Phone: (480) 410-4128
Fax: (480) 410-4130
Approximate (ZIP-level) locationGet directions
Mailing address
1675 E Morten Ave Unit 1120
Phoenix, AZ 85020-4639
Registry dates
- Enumerated
- 2024-03-21
- Last updated
- 2024-03-21
- Certified
- 2024-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.