Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDY PAUL VAWDREY, NP
ActiveMR. RANDY PAUL VAWDREY, NP is a Primary Care Nurse Practitioner healthcare provider located in POCATELLO, Idaho. NPI 1376568493 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · POCATELLO, ID
Registration Details
- NPI Number
- 1376568493
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2006 (20.06203887237 yrs)
- Last Updated
- Jul 9, 2007
- License
-
NP-659 (ID)
Practice Information
- Address
-
495 YELLOWSTONE AVEPOCATELLO, ID, 832014531Browse ID providers · Browse ZIP 83201
- Phone
- 2084787422
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| JOHN C PORTER | NP-C | 1437197647 |
| ROBERTA LYNN TURNER | FNP | 1316034689 |
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.