NPI Profile for BRYAN RAZO in SAN LUIS, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI # | 1184351579 |
|
| Status | Active | |
| Credentials | FNP-C, PMHNP-C | |
| Entity | Individual | |
| Enumeration date | 08/04/2022 | |
| Last updated | 05/28/2026 - About 2 weeks ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BRYAN RAZO
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