Reardon, Thomas Randall

Reardon, Thomas Randall is an individual health care provider with primary practice located at Us Hwy 160 And Navajo Rt 35 Hcr 6100 Box 30, Teec Nos Pos AZ 86514. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Reardon, Thomas Randall can be contacted via phone (928) 656-5000.

Contact Information

Primary practice address
Us Hwy 160 And Navajo Rt 35 Hcr 6100 Box 30 Teec Nos Pos AZ 86514
Phone: (928) 656-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN089784 Georgia
Nursing Service Providers / General Practice 163WG0000X RN207769 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN089784 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP10252 Arizona

Profile Details

NPI number 1174817423
LBN Legal business name Reardon, Thomas Randall
Credentials RN, MS, NP(C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2011
Last updated Jun 4th, 2024 - about last year

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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