Individual
CORI LYNN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
612 CENTER AVE N, ASHLEY, ND 58413-7013
(701) 288-3433
Mailing address
10710 ROSE DR, BISMARCK, ND 58503-9716
(701) 471-3111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R29524
ND
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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