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

MARY RANDOLPH, RN

Active

Advance Practice Midwife · DOVE CREEK, CO

Registration Details

NPI Number: 1396005443
Provider Type: Individual
Gender: Female
NPI Issued: May 23, 2012 (13.940312674809 yrs)
Last Updated: May 23, 2012
License: 115016 (CO)

Practice Information

Address: 497 WEST 4TH STREET

DOVE CREEK, CO, 813240368
Browse CO providers · Browse ZIP 81324
Phone: 9706772387
Fax: 9706772948
Primary Specialty: Advance Practice Midwife
163WA2000X

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.