Individual provider · Type 1 NPI
Lavonda Nicole Randle, MSN, APRN, ACNPC-AG
Acute Care Nurse Practitioner · Louisville, KY
NPI number
1538084751
Active
Practice location
9600 Lamborne Blvd
Louisville, KY 40272-2505
Fax (801) 960-1780
Mailing address
PO Box 550
Riverton, UT 84065-0550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4062429 (KY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1538084751
Lavonda Nicole Randle, MSN, APRN, ACNPC-AG's National Provider Identifier is 1538084751, issued on Aug 13, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Louisville, KY. The record was last updated on Aug 13, 2026.