Organization
RANDI MORRIS FNP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI LYNN MORRIS FNP (OWNER)
(928) 848-3190
Entity
Organization
Contact information
Practice address
8841 E FLORENTINE RD STE B, PRESCOTT VALLEY, AZ 86314-8776
(928) 471-1005
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 985-1093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235877317
NPI INDIVIDUAL NUMBER
—
Enumeration date
06/22/2022
Last updated
10/29/2024
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