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Dejan Miladinovic

Registered Nurse in Peoria, AZ. Individual provider (NPI-1).

NPI number1154066793
StatusActive
Last updated in NPPESApr 28, 2022

Details

NPI
1154066793
Entity type
Individual (NPI-1)
Name
Dejan Miladinovic
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 28, 2022
Certification date
Apr 28, 2022
Last updated
Apr 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nursern156222AZYes
163WD0400X Registered Nurse, Diabetes Educatorrn156222AZ
163WI0500X Registered Nurse, Infusion Therapyrn156222AZ

Practice location

9224 W John Cabot Rd
Peoria, AZ 85382-7709

Phone 623-326-4229

Mailing address

9224 W John Cabot Rd
Peoria, AZ 85382-7709

Phone 623-326-4229

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