Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARRIE RANDALL
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · FORT SUPPLY, OK
Registration Details
- NPI Number
- 1619290939
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2010 (16.172834531051 yrs)
- Last Updated
- Mar 2, 2010
- License
-
73304 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 MILE E. US HWY 270FORT SUPPLY, OK, 73841Browse OK providers · Browse ZIP 73841
- Phone
- 5807662311
- Fax
- 5807662017
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in FORT SUPPLY, OK
| Name | Credential | NPI |
|---|---|---|
| SANZEE SUTHERS | — | 1528381845 |
| CATHY HEINEN | — | 1538482856 |
| PENNY HILLS | — | 1265755581 |
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.