Individual
MRS. MEGAN MICHELLE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2082 MESQUITE AVE STE 106A, LAKE HAVASU CITY, AZ 86403-6710
(928) 680-4233
(928) 680-6522
Mailing address
2082 MESQUITE AVE STE 106A, LAKE HAVASU CITY, AZ 86403-6710
(928) 680-4233
(928) 680-6522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5176
AZ
Other
Enumeration date
08/28/2013
Last updated
09/02/2014
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