Individual provider · Type 1 NPI

Randi Lee Dettling, PA-C

Physician Assistant · Fredericksburg, VA

NPI number 1306703822 Active

Practice location

3516 Plank Rd Ste 5A
Fredericksburg, VA 22407-6861

Mailing address

2331 York Rd Ste 100
Timonium, MD 21093-2246

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110012141 (VA)
Physician Assistant 363A00000XC0010358 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306703822

Randi Lee Dettling, PA-C's National Provider Identifier is 1306703822, issued on Jan 7, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fredericksburg, VA. The record was last updated on Jul 10, 2026.