Individual provider · Type 1 NPI

Susanna Tilghman Randall, CRNP

Adult Health Nurse Practitioner · Philadelphia, PA

NPI number 1821283003 Active

Practice location

3535 Market St, Suite 100
Philadelphia, PA 19104-3309

Call (215) 746-3535 Map

Mailing address

724 Cornelia Pl
Philadelphia, PA 19118-4109

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	SP-001001-C (PA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1821283003

Susanna Tilghman Randall, CRNP's National Provider Identifier is 1821283003, issued on Sep 11, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 28, 2009.