Individual
MRS. MELODY D RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
53 S. LAUREL STREET 2ND FLOOR, BRIDGETON, NJ 08302
(302) 327-6567
Mailing address
53 S. LAUREL STREET 2ND FLOOR, BRIDGETON, NJ 08302
(856) 451-4700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00481000
NJ
363LF0000X
Family Nurse Practitioner
LG-0000726
DE
363LF0000X
Family Nurse Practitioner
SP013506
PA
Other
Enumeration date
02/04/2014
Last updated
08/13/2020
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