Organization
VETERANS ADMINISTRATION MEDICAL CENTER
Active
Organization
VETERANS ADMINISTRATION MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VERONICA DENISE RANDOLPH NURSE PRACTITIONER (ADULT NURSE PRACTITIONER)
(301) 884-7902
Entity
Organization
Contact information
Practice address
29431 CHARLOTTE HALL ROAD, VAMC CLINIC, CHARLOTTE HALL, MD 20622
(301) 884-7102
Mailing address
PO BOX 296, CLINTON, MD 20735
(301) 996-7709
(301) 884-7106
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R110705
MD
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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