Individual
MERCEDES RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
661 MAHONING AVE NW, WARREN, OH 44483-3457
(330) 399-8716
Mailing address
661 MAHONING AVE NW, WARREN, OH 44483
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN.462653
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0031362
OH
Other
Enumeration date
03/29/2022
Last updated
05/23/2024
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