MR. GEORGE DESTEFANO (NPI# 1235386913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235386913 |
| Entity Type | Individual |
| Full Name | MR. GEORGE DESTEFANO |
| Credential | RN |
| Practice Address |
1200 N Beaver St Flagstaff AZ 86001-3118 |
| Practice Telephone | 9287793366 |
| Mailing Telephone | 9287793366 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2009-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
RN083316 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 N BEAVER ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241189 | Alvin B Elisco | Internal Medicine | 1200 N Beaver St, Fmc Hospitalists, Flagstaff, AZ 86001-3118 | 2005-08-02 |
| 1285240515 | Amika Noel | Nurse Anesthetist, Certified Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-09-22 |
| 1669084190 | Margaret Grace Mcgough | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-08-17 |
| 1942818398 | Regan Rowson | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-07-21 |
| 1871118984 | Nancy Gloria Flores | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-06-15 |
| 1679100705 | Kristy Anderson | Occupational Therapist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-26 |
| 1164058087 | Bryan J Ebeling | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-23 |
| 1447808407 | Bryce Aldworth Randall | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-09-03 |
| 1851952162 | Samuel Small | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-26 |
| 1235797283 | Rebecca R Boger | Dietitian, Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912289 | Susan Beaupre | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1174770853 | Susan Moore | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1336396019 | Karen Duran | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1104073881 | Antoinette Stouvenel | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1902053689 | Karen Graves | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-08-25 |
| 1770768855 | Neonatal Nurse Practitioners | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992946065 | Kelly Ann Woody | Nurse Practitioner | 300 W Clarendon Ave., # 375, Phoenix, AZ 85013-3420 | 2009-03-18 |
| 1588833537 | Nancy C Broc | Nurse Practitioner | 300 West Clarendon Ave, Suite 375, Phoenix, AZ 85013-3498 | 2008-02-25 |
| 1013158195 | Lisa M Dimenna | Nurse Practitioner | 1501 N Campbell Ave, 3341, Tucson, AZ 85724-5073 | 2009-03-18 |
| 1578703542 | Megan Marie Shea | Nurse Practitioner | 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013-3476 | 2009-03-03 |
| 1649317868 | Jamie Lee Friedel | Nurse Practitioner | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2007-01-30 |
| 1013085893 | Kathryn Sue Murray | Nurse Practitioner | 310 N Wilmot Rd, Tucson, AZ 85711-2618 | 2006-12-01 |
| 1750458568 | Lucy Marie Delgiorgio | Nurse Practitioner | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2006-11-29 |
| 1477628329 | Patricia Dell King | Nurse Practitioner | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2006-11-22 |
| 1013082700 | Karren Lefevre | Nurse Practitioner | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2006-11-21 |
| 1912953944 | Frances Strodtbeck | Nurse Practitioner | 4212 N 16th St, Phoenix, AZ 85016 | 2006-05-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.