Individual
ALYSSA M RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10590 N MERIDIAN ST, CARMEL, IN 46290-1028
(317) 338-6666
(317) 338-6066
Mailing address
5510 S EAST ST STE H, INDIANAPOLIS, IN 46227-1939
(317) 924-8425
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007267A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004667
—
IN
Enumeration date
02/04/2017
Last updated
07/16/2025
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