Individual
DAREN RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
625 N JACKSON AVE, SPRINGFIELD, MN 56087
(507) 723-6201
Mailing address
625 N JACKSON AVE, SPRINGFIELD, MN 56087-1714
(507) 723-6201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000861
SD
363LA2100X
Acute Care Nurse Practitioner
A-131324
IA
363LF0000X
Family Nurse Practitioner
5309
MN
Other
Enumeration date
07/12/2012
Last updated
06/11/2020
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