Individual provider · Type 1 NPI
Courtney Dyan Randolph, ARNP
Family Nurse Practitioner · Bonney Lake, WA
NPI number
1558071597
Active
Practice location
10004 204th Ave E Fl 3
Bonney Lake, WA 98391-6539
Fax (253) 845-7073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP61372574 (WA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Maria Beloit, ARNP, FNP-CFamily Nurse Practitioner Bonney Lake, WA NPI 1356755482
- Duy Trinh, NPFamily Nurse Practitioner Bonney Lake, WA NPI 1396299616
- Charis Marie McCoy, APRN FNP-BCFamily Nurse Practitioner Bonney Lake, WA NPI 1518317072
- Shiela A. Guinto, ARNPFamily Nurse Practitioner Bonney Lake, WA NPI 1558978411
- Amanda Matthews, ARNPFamily Nurse Practitioner Bonney Lake, WA NPI 1639651086
- Sarah C. Gollhofer, ARNPFamily Nurse Practitioner Bonney Lake, WA NPI 1669700076
About NPI 1558071597
Courtney Dyan Randolph, ARNP's National Provider Identifier is 1558071597, issued on Nov 30, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bonney Lake, WA. The record was last updated on Nov 30, 2022.