Individual
BRYAN RAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1922 E CESAR CHAVEZ BLVD, SUITE 7, SAN LUIS, AZ 85336
(928) 750-4006
Mailing address
PO BOX 8691, SAN LUIS, AZ 85349-6832
(928) 750-4006
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
226505
AZ
363LF0000X
Family Nurse Practitioner
Primary
226505
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
226505
AZ
Other
Enumeration date
08/04/2022
Last updated
05/13/2026
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