Individual
DR. ADAM LEE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, FNP-C
Contact information
Practice address
7415 ARAIA DR, FOUNTAIN, CO 80817-1590
(863) 224-2903
Mailing address
7415 ARAIA DR, FOUNTAIN, CO 80817-1590
(863) 224-2903
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
114971
AK
363LF0000X
Family Nurse Practitioner
Primary
APN.0992741-NP
CO
Other
Enumeration date
09/04/2016
Last updated
01/24/2024
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