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:
Health care specialties
Specialty | Code | License # | 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 6 months 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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