Randolph, Natalie Nicole

Randolph, Natalie Nicole is an individual health care provider with primary practice located at 1181 First Colonial Rd Suite 200, Virginia Beach VA 23454-2437. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Randolph, Natalie Nicole can be contacted via phone (757) 425-1600.

Contact Information

Primary practice address
1181 First Colonial Rd Suite 200 Virginia Beach VA 23454-2437
Phone: (757) 425-1600
Fax: (757) 425-6495
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101251938 Virginia

Profile Details

NPI number 1740484468
LBN Legal business name Randolph, Natalie Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Apr 14th, 2015 - about 11 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 1740484468 NPPES
Virginia Other 0101251938 LICENSE

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