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

Mr. George Destefano, RN

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1235386913

Mr. George Destefano, RN is a Critical Care Neonatal Nurse Practitioner in Flagstaff, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 779-3366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence RN083316 (AZ)

Record details

NPI number1235386913
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 25, 2008
Last updated in NPPESNovember 19, 2009
Mailing address1200 N Beaver St, Flagstaff, AZ 86001-3118

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