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

Russell Fornator, CCP

Individual provider Specialist · NPI 1033247481

Russell Fornator, CCP is a Specialist in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10930 N Tatum Blvd #103
Phoenix, AZ 85028-6069
Phone: (602) 263-7600
Fax: (602) 212-0365
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1033247481
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorYes
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Phoenix