Individual provider · Type 1 NPI

Madelynn Whitesides Randall, FNP-C

Nurse Practitioner · Layton, UT

NPI number 1700660065 Active

Practice location

1756 W Antelope Dr
Layton, UT 84041-1143

Call (801) 773-4865 Map

Mailing address

1736 S Haven Pkwy
West Haven, UT 84401-7134

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	11565765-4405 (UT)

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…

3 other providers at this address

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About NPI 1700660065

Madelynn Whitesides Randall, FNP-C's National Provider Identifier is 1700660065, issued on Aug 18, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Layton, UT. The record was last updated on Aug 18, 2023.