Individual
RANDY V. MALLARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, FNP-BC
Contact information
Practice address
10901 E MCDOWELL RD, SCOTTSDALE, AZ 85256-5300
(480) 278-7742
Mailing address
10250 N 124TH ST, SCOTTSDALE, AZ 85259-5201
(602) 908-8580
(480) 590-6113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95034292
CA
363LF0000X
Family Nurse Practitioner
APRN-5050
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10041249
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
321587
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
83016
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
873430
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096781
—
AZ
Enumeration date
10/12/2012
Last updated
05/05/2026
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