Individual provider · Type 1 NPI

Ashanta S. Randolph, FNP

Family Nurse Practitioner · Houston, TX

NPI number 1194301515 Active

Practice location

4700 W Sam Houston Pkwy N Ste 220
Houston, TX 77041-8224

Fax (713) 570-0196

Mailing address

602 W Grand Pkwy S
Katy, TX 77494-8328

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1032753 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1194301515

Ashanta S. Randolph, FNP's National Provider Identifier is 1194301515, issued on Mar 24, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Jan 3, 2023.