Individual
SIERRA RANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
(901) 448-8472
Mailing address
10859 BLAKE CIR, OLIVE BRANCH, MS 38654-6401
(901) 691-1818
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28216
TN
367500000X
Certified Registered Nurse Anesthetist
901650
MS
Other
Enumeration date
04/16/2020
Last updated
11/30/2022
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