| Randy V Mallari, PMHNP-BC, FNP-BC | |
|
10250 N 124th St, Scottsdale, AZ 85259-5201 | |
| (480) 400-0850 | |
| (602) 860-6050 |
| Full Name | Randy V Mallari |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 10250 N 124th St, Scottsdale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306198429 | NPI | - | NPPES |
| 096781 | Medicaid | AZ |
| Entity Name | Active Vital Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326825092 PECOS PAC ID: 3870942428 Enrollment ID: O20231208000557 |
| Entity Name | Gmc Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659153195 PECOS PAC ID: 2062850159 Enrollment ID: O20240409002728 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy V Mallari, PMHNP-BC, FNP-BC 10250 N 124th St, Scottsdale, AZ 85259-5201 Ph: (602) 908-8580 | Randy V Mallari, PMHNP-BC, FNP-BC 10250 N 124th St, Scottsdale, AZ 85259-5201 Ph: (480) 400-0850 |
Mrs. Tamera Ann Youngblood, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14570 E Sweetwater Ave, Scottsdale, AZ 85259 Phone: 602-463-8064 Fax: 800-877-0713 | |
Mr. Brett Lee Leifson, APRN MSN PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7373 N Scottsdale Rd Ste A199, Scottsdale, AZ 85253 Phone: 702-805-5360 Fax: 702-977-7488 | |
Patricia Li, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15425 N Greenway Hayden Loop Ste A300, Scottsdale, AZ 85260 Phone: 480-607-1124 Fax: 480-607-1087 | |
Marci Farquhar-snow, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Helen Walker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10200 N 92nd St Ste 150, Scottsdale, AZ 85258 Phone: 480-860-8488 Fax: 480-860-8498 | |
Amy L Swanholm, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11333 N Scottsdale Rd Ste 230, Scottsdale, AZ 85254 Phone: 480-631-7373 Fax: 480-631-7374 | |
Dr. Daniel Hall, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8417 E Mcdowell Rd, Scottsdale, AZ 85257 Phone: 480-946-3399 |