Individual
NEAL RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-DNP, APRN
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18058-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10379256-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
18058-33
WI
Other
Enumeration date
08/18/2025
Last updated
04/08/2026
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