Individual provider · Type 1 NPI
Dorrie Randall
Licensed Practical Nurse · Shacklefords, VA
NPI number
1144780792
Active
Practice location
2002 Plainview Lane
Shacklefords, VA 23156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 0002068137 (VA) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1144780792
Dorrie Randall's National Provider Identifier is 1144780792, issued on Mar 20, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shacklefords, VA. The record was last updated on Mar 20, 2019.