Individual
RANDI ELIZABETH LUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
910 N COLLEGE AVE STE 4, COLUMBIA, MO 65201-4797
(636) 642-1215
(573) 234-4799
Mailing address
910 N COLLEGE AVE STE 4, COLUMBIA, MO 65201-4797
(636) 642-1215
(573) 234-4799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021023926
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420105195
—
MO
Enumeration date
11/19/2021
Last updated
12/17/2025
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