Destefano, George

Destefano, George is an sole proprietor health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001-3118. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as his primary health care specialty. Destefano, George can be contacted via phone (928) 779-3366.

Contact Information

Primary practice address
1200 N Beaver St Flagstaff AZ 86001-3118
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X RN083316 Arizona

Profile Details

NPI number 1235386913
LBN Legal business name Destefano, George
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2008
Last updated Nov 19th, 2009 - about 15 years ago

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.

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