Individual
DARCEL RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1106 N GILBERT RD STE 2, MESA, AZ 85203-5143
(480) 868-9650
(480) 834-3606
Mailing address
1106 N GILBERT RD STE 2, MESA, AZ 85203-5143
(480) 868-9650
(480) 834-3606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7377
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
969303
—
AZ
Enumeration date
10/08/2014
Last updated
03/17/2018
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