Randall, Nashe Phylice
Randall, Nashe Phylice is an individual health care provider with primary practice located at 5200 Copper Ave Ne , Albuquerque NM 87108-1473. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Randall, Nashe Phylice can be contacted via phone (505) 255-5099.Contact Information
Primary practice address
5200 Copper Ave Ne
Albuquerque NM 87108-1473
Phone: (505) 255-5099
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3774 | New Mexico |
Profile Details
| NPI number | 1588755433 |
|---|---|
| LBN Legal business name | Randall, Nashe Phylice |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588755433 | NPPES |
| New Mexico | MEDICAID | 54250552 |
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