Individual provider · NPI-1

Richard A Ayiyi Jr., FNP-C

Family Medicine · Buckeye, AZ

NPI number1689301293
StatusActive
Last updated in NPPESAug 3, 2022

Details

NPI
1689301293
Entity type
Individual (NPI-1)
Name
Mr. Richard A Ayiyi Jr.
Credential
FNP-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 3, 2022
Certification date
Jun 9, 2022
Last updated
Aug 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine278626AZYes

Practice location

23556 W Huntington Dr
Buckeye, AZ 85326-7260

Phone 480-694-0018

Mailing address

23556 W Huntington Dr
Buckeye, AZ 85326-7260

Phone 480-694-0018

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