Randazzo, Stephen

Randazzo, Stephen is an individual health care provider with primary practice located at 1485 N Turquoise Dr Suite 200, Flagstaff AZ 86001-1398. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Randazzo, Stephen can be contacted via phone (928) 774-7757.

Contact Information

Primary practice address
1485 N Turquoise Dr Suite 200 Flagstaff AZ 86001-1398
Phone: (928) 774-7757
Fax: (928) 226-3071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1186 Arizona

Profile Details

NPI number 1578590782
LBN Legal business name Randazzo, Stephen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Sep 27th, 2017 - about 8 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 1578590782 NPPES
Arizona MEDICAID 911322

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