Individual
RACHEL RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7840
Mailing address
2074 W YARROW DR, MAPLETON, UT 84664-5637
(503) 314-2545
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7798482-4405
UT
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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