Individual
TARA RANDALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
909 TRACEY LN, DECATUR, AL 35601-7701
(205) 272-0796
Mailing address
909 TRACEY LN, DECATUR, AL 35601-7701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-123416
AL
Other
Enumeration date
03/30/2020
Last updated
05/04/2023
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