Individual
CASEY N RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 577-4200
(317) 577-9503
Mailing address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 577-4200
(317) 577-9503
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28235024A
IN
Other
Enumeration date
05/16/2025
Last updated
07/18/2025
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