Individual provider · Type 1 NPI

Susan Randall, NP

Nurse Practitioner · Charlotte, NC

NPI number 1487885307 Active

Practice location

1001 Blythe Blvd, Medical Center Plaza Suite 200
Charlotte, NC 28203-5866

Call (704) 381-8840 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

2550 Court Dr, Gastonia, NC 28054-2152 · (704) 381-8840
14214 Ballantyne Lake Rd, Charlotte, NC 28277-3372 · (704) 381-8840
1781 Tate Blvd SE, Hickory, NC 28602-4251 · (704) 381-8840
100 Medical Park Dr, Ste 310, Concord, NC 28025-2948 · (704) 403-2660

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	102484 (SC)
Nurse Practitioner Primary	363L00000X	5004438 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1487885307

Susan Randall, NP's National Provider Identifier is 1487885307, issued on Jul 28, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jan 20, 2021.