Mallari, Randy V.
Mallari, Randy V. is an sole proprietor health care provider with primary practice located at 10901 E Mcdowell Rd , Scottsdale AZ 85256-5300. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Mallari, Randy V. can be contacted via phone (480) 278-7742.Contact Information
Primary practice address
10901 E Mcdowell Rd
Scottsdale AZ 85256-5300
Phone: (480) 278-7742
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95034292 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN-5050 | Hawaii |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 321587 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 873430 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 10041249 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 83016 | New Mexico |
Profile Details
| NPI number | 1306198429 |
|---|---|
| LBN Legal business name | Mallari, Randy V. |
| Credentials | PMHNP-BC/C, FNP-BC/C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2012 |
| Last updated | Jul 25th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306198429 | NPPES |
| Arizona | MEDICAID | 096781 |
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