Individual provider · Type 1 NPI

Diana Randolph-Merchant

Student in an Organized Health Care Education/Training Program · Lynn, MA

NPI number 1003215872 Active

Practice location

95 Pleasant St
Lynn, MA 01901-1524

Mailing address

126 Highland Ave
Salem, MA 01970-2724

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003215872

Diana Randolph-Merchant's National Provider Identifier is 1003215872, issued on Aug 18, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lynn, MA. The record was last updated on Aug 18, 2014.