Individual provider · Type 1 NPI
Shalan M. Randolph, N.P.
Acute Care Nurse Practitioner · New Orleans, LA
NPI number
1114118262
Active
Practice location
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN104936 AP05062 (LA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1114118262
Shalan M. Randolph, N.P.'s National Provider Identifier is 1114118262, issued on Aug 5, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New Orleans, LA. The record was last updated on Nov 20, 2007.