IndividualActive
Derrick Ssenkusu
NPI 1669331484 · Attendant Care Provider · Phoenix, AZ
Provider details
- NPI number
- 1669331484
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Practice location
1717 W Northern Ave Ste 101
Phoenix, AZ 85021-5400
Phone: (818) 810-8120
Approximate (ZIP-level) locationGet directions
Mailing address
1717 W Northern Ave Ste 101
Phoenix, AZ 85021-5400
Registry dates
- Enumerated
- 2026-01-17
- Last updated
- 2026-01-17
- Certified
- 2026-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.