Individual
LAURA DENISE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, FNP-C
Contact information
Practice address
4701 36TH ST NE, TACOMA, WA 98422-2462
(253) 370-6221
Mailing address
4701 36TH ST NE, TACOMA, WA 98422-2462
(253) 370-6221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61203948
WA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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