Individual provider · Type 1 NPI
Thomas Randall Reardon, RN, MS, NP(C)
Family Nurse Practitioner · Teec Nos Pos, AZ
NPI number
1174817423
Active
Practice location
US Hwy 160 And Navajo Rt 35, Hcr 6100 Box 30
Teec Nos Pos, AZ 86514
Mailing address
Hcr 6100 Box 30
Teec Nos Pos, AZ 86514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN089784 (GA) |
| General Practice Registered Nurse | 163WG0000X | RN207769 (AZ) |
| Family Nurse Practitioner | 363LF0000X | RN089784 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | AP10252 (AZ) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Teec Nos Pos
About NPI 1174817423
Thomas Randall Reardon, RN, MS, NP(C)'s National Provider Identifier is 1174817423, issued on Jun 3, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Teec Nos Pos, AZ. The record was last updated on Jun 4, 2024.