MRS. BREANNE RANDALL PNP NPI 1760981039

NPI Information

NPI: 1760981039
Provider Name: MRS. BREANNE RANDALL, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
3000 S HULEN ST STE 180
FORT WORTH, TX
ZIP 76109
Phone: (817) 750-7334
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MRS. Breanne Randall, PNP is a pediatrics nurse practitioner in Fort Worth, TX. MRS. Breanne Randall, PNP NPI is 1760981039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3000 S HULEN ST STE 180
FORT WORTH, TX
ZIP 76109-933
Phone: (817) 750-7334

The enumeration date for this NPI number is 2/1/2018 and was last updated on 2/1/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	AP135427	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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