Individual provider · Type 1 NPI

Madison Rose Randak

Student in an Organized Health Care Education/Training Program · Monroe, LA

NPI number 1417832254 Active

Practice location

4408 Bon Aire Dr
Monroe, LA 71203-3111

Call (318) 342-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP10099245 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417832254

Madison Rose Randak's National Provider Identifier is 1417832254, issued on Aug 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Monroe, LA. The record was last updated on Jun 3, 2026.