Individual
RANDALL BLUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1501 N CAMPBELL AVE RM 4303, TUCSON, AZ 85724-2363
(520) 626-2164
Mailing address
6070 N DESERT SUN CT, TUCSON, AZ 85750-0925
(520) 591-2159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10192
AZ
363LF0000X
Family Nurse Practitioner
TAP10192
AZ
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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