Provider Demographics
NPI:1568733111
Name:SAFRENO, TERRY JEANNE (RRT)
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:JEANNE
Last Name:SAFRENO
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5406 E CHARLESTON AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5820
Mailing Address - Country:US
Mailing Address - Phone:602-710-1738
Mailing Address - Fax:
Practice Address - Street 1:5406 E CHARLESTON AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5820
Practice Address - Country:US
Practice Address - Phone:602-710-1738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0044242279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health