Individual provider · Type 1 NPI

Matthew Randolph

Psychiatric/Mental Health Nurse Practitioner · Gainesville, FL

NPI number 1437408887 Active

Practice location

529 NW 60th St
Gainesville, FL 32607-2008

Fax (352) 332-9607

Mailing address

1502 W Nc Highway 54, Ste 103
Durham, NC 27707-5572

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN9315572 (FL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XARNP9315572 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1437408887

Matthew Randolph's National Provider Identifier is 1437408887, issued on Aug 31, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gainesville, FL. The record was last updated on Oct 16, 2017.