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Individual
RANDI TEASTER
Active
Individual
RANDI TEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000018874
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881097913
—
NC
05
—
1881097913
—
VA
05
—
7100322730
—
KY
01
—
P01438270
RAILROAD MEDICARE
TN
05
—
Q008746
—
TN
Enumeration date
10/03/2014
Last updated
02/27/2017
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