MS. CONNIE MALLO RANDAZZO CNS NPI 1871602664

NPI Information

NPI: 1871602664
Provider Name: MS. CONNIE MALLO RANDAZZO, CNS
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2620 E PROSPECT RD
SUITE 190
FORT COLLINS, CO
ZIP 80525
Phone: (970) 221-1106
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MS. Connie Mallo Randazzo, CNS is a psychiatric/mental health clinical nurse specialist in Fort Collins, CO. MS. Connie Mallo Randazzo, CNS NPI is 1871602664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2620 E PROSPECT RD
SUITE 190
FORT COLLINS, CO
ZIP 80525-098
Phone: (970) 221-1106
Fax: (970) 232-1050

The NPI 1871602664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 5/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	81170	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	87954770	MEDICAID	COLORADO
2	P97737	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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