Individual
JOANN K RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, FNP, MS, BSN
Contact information
Practice address
4027 EASTERN AVE, CINCINNATI, OH 45226-1747
(513) 321-2202
Mailing address
2415 AUBURN AVE, CINCINNATI, OH 45219-2701
(513) 221-4949
(513) 241-4191
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
NP-09144
OH
363LF0000X
Family Nurse Practitioner
Primary
NP-09144
OH
Other
Enumeration date
05/10/2007
Last updated
09/29/2011
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