Randell, Mary
Randell, Mary is an individual health care provider with primary practice located at 1032 Crosswinds Ct , Wentzville MO 63385-4836. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Randell, Mary can be contacted via phone (636) 332-6000.Contact Information
Primary practice address
1032 Crosswinds Ct
Wentzville MO 63385-4836
Phone: (636) 332-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2019039213 | Missouri |
Profile Details
| NPI number | 1760020234 |
|---|---|
| LBN Legal business name | Randell, Mary |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2019 |
| Last updated | Jan 6th, 2020 - about 6 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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