Individual
MS. HEATHER MARIE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 399-8020
Mailing address
1152 S ELIZABETH ST, DENVER, CO 80210-2002
(515) 708-1290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.381176
IL
163W00000X
Registered Nurse
194764
CO
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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