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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