DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THOMAS RANDALL REARDON, RN, MS, NP(C)

Active

MR. THOMAS RANDALL REARDON, RN, MS, NP(C) is a Family Nurse Practitioner healthcare provider located in TEEC NOS POS, Arizona. NPI 1174817423 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · TEEC NOS POS, AZ

Registration Details

NPI Number
1174817423
Provider Type
Individual
Gender
Male
NPI Issued
Jun 3, 2011 (15.053863288381 yrs)
Last Updated
Jun 4, 2024
Licenses
RN089784 (GA)
RN207769 (AZ)
RN089784 (GA)
AP10252 (AZ)

Practice Information

Address
US HWY 160 AND NAVAJO RT 35
HCR 6100 BOX 30
TEEC NOS POS, AZ, 86514
Browse AZ providers · Browse ZIP 86514
Phone
9286565000
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
General Practice Nurse
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.