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Individual
KARIE RANDALL
Active
Individual
KARIE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN002051
NV
363LF0000X
Family Nurse Practitioner
0991551
CO
363LF0000X
Family Nurse Practitioner
4704393449
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891193710
—
NV
Enumeration date
12/09/2014
Last updated
01/08/2024
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