Individual provider · Type 1 NPI
Randa Corley, CRNP
Gerontology Nurse Practitioner · Reform, AL
NPI number
1144946245
Active
Practice location
108 4th Ave SW
Reform, AL 35481-8018
Fax (205) 375-9064
Mailing address
12721 Sanford Ln
Northport, AL 35473-7212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1-155905 (AL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1-155905 (AL) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1144946245
Randa Corley, CRNP's National Provider Identifier is 1144946245, issued on Oct 19, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Reform, AL. The record was last updated on May 20, 2026.