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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY S RANDALL, NP

Active

MARY S RANDALL, NP is a Nurse Practitioner healthcare provider located in BOISE, Idaho. NPI 1174871420 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BOISE, ID

Registration Details

NPI Number
1174871420
Provider Type
Individual
Gender
Female
NPI Issued
Aug 16, 2012 (13.980479420506 yrs)
Last Updated
Nov 30, 2016
License
NP-1157A (ID)

Practice Information

Address
6140 W CURTISIAN AVE
STE 200
BOISE, ID, 837048880
Browse ID providers · Browse ZIP 83704
Phone
2083020000
Fax
2083020055
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in BOISE, ID

Name Credential NPI
MR. CHRISTOPHER JAY SJOBERG NP 1235122284
MR. CORY J HUFFINE N.P. 1700879459
MRS. RENEE MICHELLE KINDLER FNP 1588653828
MRS. BECKY M. ELDER NP 1417938473
SUSAN MCMULLEN NP 1932160447
MRS. JENNIFER ANN HACKWITH NP 1285683581
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.