Individual provider · Type 1 NPI

Judith Myrick Randall, ARNP

Family Nurse Practitioner · North Bend, OR

NPI number 1891978763 Active

Practice location

1890 Waite St, Ste 1
North Bend, OR 97459-1229

Fax (541) 756-6234

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP30007876 (WA)
Family Nurse Practitioner Primary 363LF0000X201250024 (OR)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X201250025NP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1891978763

Judith Myrick Randall, ARNP's National Provider Identifier is 1891978763, issued on Dec 13, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North Bend, OR. The record was last updated on Jun 22, 2012.