Individual provider · Type 1 NPI
Carrie Randall
Psychiatric/Mental Health Registered Nurse · Fort Supply, OK
NPI number
1619290939
Active
Practice location
1 Mile E. US Hwy 270
Fort Supply, OK 73841
Fax (580) 766-2017
Mailing address
1222 10th St Ste 211
Woodward, OK 73801-3156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 73304 (OK) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
2 other providers at this address
Other psychiatric/mental health registered nurse providers in Fort Supply
About NPI 1619290939
Carrie Randall's National Provider Identifier is 1619290939, issued on Mar 2, 2010. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Fort Supply, OK. The record was last updated on Mar 2, 2010.