Individual provider · Type 1 NPI

Retha Jennifer Randall, APN

Pediatric Nurse Practitioner · Voorhees, NJ

NPI number 1053561860 Active

Practice location

1012 Laurel Oak Rd
Voorhees, NJ 08043-3505

Fax (856) 627-2183

Mailing address

316 Lakeview Dr
Collingswood, NJ 08108-3029

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X26NN10600900 (NJ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1053561860

Retha Jennifer Randall, APN's National Provider Identifier is 1053561860, issued on Sep 29, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Voorhees, NJ. The record was last updated on Oct 1, 2008.