| Michael Randolph, FNP-C | |
|
20046 N John Wayne Pkwy Ste 102, Maricopa, AZ 85139-2977 | |
| (520) 497-4575 | |
| Not Available |
| Full Name | Michael Randolph |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 20046 N John Wayne Pkwy Ste 102, Maricopa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417764440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 270365 (Arizona) | Primary |
| Entity Name | Zuwa Family Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467046151 PECOS PAC ID: 6800297672 Enrollment ID: O20210630002715 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Randolph, FNP-C 20046 N John Wayne Pkwy Ste 102, Maricopa, AZ 85139-2977 Ph: (520) 497-4575 | Michael Randolph, FNP-C 20046 N John Wayne Pkwy Ste 102, Maricopa, AZ 85139-2977 Ph: (520) 497-4575 |
Alexa Nicole Perry, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138 Phone: 520-233-2500 | |
Lori Ann Gaytan, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21300 N John Wayne Pkwy Ste 112-113, Maricopa, AZ 85139 Phone: 520-568-9500 | |
Amanda Toppel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138 Phone: 520-233-2500 | |
Cody Barta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40549 W Parkhill Dr, Maricopa, AZ 85138 Phone: 763-656-7416 | |
Carmen Patricia Born, PMHNP-BC, RN, LMT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35641 W Costa Blanca Dr, Maricopa, AZ 85138 Phone: 443-823-5908 | |
Ms. Tyeasa Renae Jones, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41704 W Smith Enke Rd Ste 100, Maricopa, AZ 85138 Phone: 623-200-3526 Fax: 623-401-6598 | |
Ms. Joey Dee Walker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44162 W Lindgren Dr, Maricopa, AZ 85138 Phone: 602-292-2065 |