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

MRS. TARA RANDOLPH, PNP

Active

MRS. TARA RANDOLPH, PNP is a Pediatric Nurse Practitioner healthcare provider located in MINNETONKA, Minnesota. NPI 1760119622 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · MINNETONKA, MN

Registration Details

NPI Number
1760119622
Provider Type
Individual
Gender
Female
NPI Issued
Aug 2, 2022 (3.9933929627071 yrs)
Last Updated
Aug 2, 2022
License
9228 (MN)

Practice Information

Address
17705 HUTCHINS DR
MINNETONKA, MN, 553454145
Browse MN providers · Browse ZIP 55345
Phone
9524018252
Fax
9524018286
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X

Other Pediatric Nurse Practitioner Providers in MINNETONKA, MN

Name Credential NPI
MARIA MCGANNON 1265418875
TAMARA LYNN WHYTE KASMARIK CNP 1952373102
CYNTHIA JANE HIBBS C.P.N.P.-P.C. 1578535076
KELLY ANN BOIE PPCNP-BC 1063485514
MS. PATRICIA MARIE ZAJAC CNP 1932172137
MADALYNNE HELEN AHMANN CPNP 1306810833
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.