Individual provider · Type 1 NPI

Demi Randall

Licensed Practical Nurse · Delavan, WI

NPI number 1679098867 Active

Practice location

W7530 Shorewood Ter
Delavan, WI 53115-2662

Call (320) 428-5836 Map

Fax (320) 428-5836

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X322136-31 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1679098867

Demi Randall's National Provider Identifier is 1679098867, issued on Aug 8, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Delavan, WI. The record was last updated on Aug 8, 2017.