Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE RANDOLPH, NP-C
ActiveBLAKE RANDOLPH, NP-C is a Nurse Practitioner healthcare provider located in REINBECK, Iowa. NPI 1295382786 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · REINBECK, IA
Registration Details
- NPI Number
- 1295382786
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2019 (6.9756210862448 yrs)
- Last Updated
- Aug 21, 2025
- Licenses
-
A156287 (IA)A156287 (IA)
Practice Information
- Address
-
604 WEST STREINBECK, IA, 506691353Browse IA providers · Browse ZIP 50669
- Phone
- 3195750180
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
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.