Individual provider · Type 1 NPI

Randall Alan Roark, N.P.

Family Nurse Practitioner · Palm Springs, CA

NPI number 1447312178 Active

Practice location

1695 N Sunrise Way
Palm Springs, CA 92262-3701

Other practice locations

  • 72724 29 Palms Hwy Ste 103, 29 Palms, CA 92277-2459 · (760) 367-5906

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X568148 (CA)
Family Nurse Practitioner Primary 363LF0000X15996 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1447312178

Randall Alan Roark, N.P.'s National Provider Identifier is 1447312178, issued on Dec 16, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Palm Springs, CA. The record was last updated on Nov 12, 2024.