Radford, Deborah M

Radford, Deborah M is an individual health care provider with primary practice located at 1741 Sycamore Ave , Kingman AZ 86409-0927. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Radford, Deborah M can be contacted via phone (928) 757-8111.

Contact Information

Primary practice address
1741 Sycamore Ave Kingman AZ 86409-0927
Phone: (928) 757-8111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 533841 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN184531 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400881 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP5484 Arizona

Profile Details

NPI number 1295802957
LBN Legal business name Radford, Deborah M
Credentials RN, NPP, M.SC(A)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Sep 12th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295802957 NPPES
Arizona MEDICAID 900068

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