MEDICARE: DERMRIGHT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LP2300X	Primary Care Nurse Practitioner
2	363L00000X	Nurse Practitioner
3	363LA2200X	Adult Health Nurse Practitioner
4	363LG0600X	Gerontology Nurse Practitioner
5	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1346725488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DERMRIGHT LLC

Provider Business Mailing Address
First Line	:	13771 N FOUNTAIN HILLS BLVD # 114-103
Second Line	:
City	:	FOUNTAIN HILLS
State	:	AZ
Zip	:	85268-3762
Country	:	US
Telephone Number	:	888-662-3376
Fax Number	:	786-453-0383

Provider Business Practice Location Address
First Line	:	13771 N FOUNTAIN HILLS BLVD # 114-103
Second Line	:
City	:	FOUNTAIN HILLS
State	:	AZ
Zip	:	85268-3762
Country	:	US
Telephone Number	:	888-662-3376
Fax Number	:	786-453-0383

Authorized Official
Title or Position	:	OWNER
Name	:	JOSHUA HARRISON
Credential	:	NP
Telephone Number	:	888-662-3376

Provider Enumeration Date	:	09/25/2018
Last Update Date	:	08/29/2024

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Directions to “DERMRIGHT LLC ” Practice Location

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