Davis, Randi Terry

Davis, Randi Terry is an individual health care provider with primary practice located at 200 S Orange Ave , Livingston NJ 07039-5817. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Davis, Randi Terry can be contacted via phone (973) 577-4056.

Contact Information

Primary practice address
200 S Orange Ave Livingston NJ 07039-5817
Phone: (973) 577-4056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 26NJ00306400 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704197826 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 306445 New York

Profile Details

NPI number 1295815892
LBN Legal business name Davis, Randi Terry
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Apr 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295815892 NPPES
Michigan MEDICAID 4381587
Michigan Other 4308759910
Michigan Other 4308712580

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