Individual provider · Type 1 NPI
Dustin Charles Randall, CNP
Family Nurse Practitioner · Freeman, SD
NPI number
1982967451
Active
Practice location
804 S. Walnut Street
Freeman, SD 57029
Fax (605) 925-4220
Mailing address
804 S Walnut St
Freeman, SD 57029-2033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | CP000712 (SD) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Freeman
About NPI 1982967451
Dustin Charles Randall, CNP's National Provider Identifier is 1982967451, issued on Jun 20, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Freeman, SD. The record was last updated on Jun 20, 2012.