Randolph, Alyssa M

Randolph, Alyssa M is an individual health care provider with primary practice located at 10590 N Meridian St , Carmel IN 46290-1028. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Randolph, Alyssa M can be contacted via phone (317) 338-6666.

Contact Information

Primary practice address
10590 N Meridian St Carmel IN 46290-1028
Phone: (317) 338-6666
Fax: (317) 338-6066
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71007267A Indiana

Profile Details

NPI number 1922546464
LBN Legal business name Randolph, Alyssa M
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2017
Last updated Jul 16th, 2025 - about last year

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 1922546464 NPPES
Indiana MEDICAID 300004667

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