Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALTER RANDALL, LN100692
Active Sole ProprietorWALTER RANDALL, LN100692 is a Licensed Practical Nurse healthcare provider located in WARREN, Massachusetts. NPI 1386363042 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · WARREN, MA
Registration Details
- NPI Number
- 1386363042
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2022 (4.0076490433284 yrs)
- Last Updated
- Aug 25, 2022
- License
-
LN100692 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1210 MAIN STWARREN, MA, 010839760Browse MA providers · Browse ZIP 01083
- Phone
- 7179160995
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.