Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Randolph, FNP-C

Individual provider Family Nurse Practitioner · NPI 1417764440

Michael Randolph, FNP-C is a Nurse Practitioner in Maricopa, Arizona. Qualified in 2024, 2 years ago. Practices with Zuwa Family Care PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

20046 N John Wayne Pkwy Ste 102
Maricopa, AZ 85139-2977
Phone: (520) 497-4575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 270365 (AZ)

Record details

NPI number1417764440
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 12, 2024
Last updated in NPPESApril 23, 2025
Certification dateApril 15, 2025
Mailing address20046 N John Wayne Pkwy Ste 102, Maricopa, AZ 85139-2977

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Zuwa Family Care Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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