Individual
CARRIE ANN RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-8109
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-2170
(619) 532-8109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP17359
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN639033
—
CA
Enumeration date
09/14/2007
Last updated
03/24/2024
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