Healthcare Provider Details

I. General information

NPI: 1467064063
Provider Name (Legal Business Name): DYLAN O'KEEFE CAREY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 S CAMPBELL AVE
GREEN VALLEY AZ
85614-0504
US

IV. Provider business mailing address

10196 N INVERRARY PL
ORO VALLEY AZ
85737-6928
US

V. Phone/Fax

Practice location:
  • Phone: 520-407-5400
  • Fax:
Mailing address:
  • Phone: 520-309-1065
  • Fax: 520-492-8170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number289506
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN200405
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: