Individual
HEATHER RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13707 FAIRHILL AVE, EDMOND, OK 73013-1946
(405) 412-3494
(405) 463-0090
Mailing address
13707 FAIRHILL AVE, EDMOND, OK 73013-1946
(405) 412-3494
(405) 463-0090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0110057
OK
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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