Nye, Deric H

Nye, Deric H is an individual health care provider with primary practice located at 5601 W Eugie Ave Ste 100 , Glendale AZ 85304-1256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, which is considered as his primary health care specialty. Nye, Deric H can be contacted via phone (602) 865-4510.

Contact Information

Primary practice address
5601 W Eugie Ave Ste 100 Glendale AZ 85304-1256
Phone: (602) 865-4510
Fax: (602) 865-6100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 20A17398 California
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 009320 Arizona

Profile Details

NPI number 1699014464
LBN Legal business name Nye, Deric H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2013
Last updated Jun 24th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699014464 NPPES
California MEDICAID 1699014464

Popular Providers