IndividualActive
Brett Dirvonas
NPI 1568148302 · Pediatric Nurse Practitioner · Phoenix, AZ
Provider details
- NPI number
- 1568148302
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN195267 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-0920
Approximate (ZIP-level) locationGet directions
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Registry dates
- Enumerated
- 2023-06-26
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.