KATIE BEATRIC RANDOLPH RN NPI 1194849943

NPI Information

NPI: 1194849943
Provider Name: KATIE BEATRIC RANDOLPH, RN
Classification: Registered Nurse - 163WA2000X
Entity Type: Individual

Specialization: Administrator

Address:
1151 TAYLOR ST
DETROIT HEALTH DEPT. - HERMAN KIEFER HEALTH COMPLEX
DETROIT, MI
ZIP 48202
Phone: (313) 876-4322
Get Directions

Katie Beatric Randolph, RN is an administrator registered nurse in Detroit, MI. Katie Beatric Randolph, RN NPI is 1194849943. 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:

1151 TAYLOR ST
DETROIT HEALTH DEPT. - HERMAN KIEFER HEALTH COMPLEX
DETROIT, MI
ZIP 48202-732
Phone: (313) 876-4322
Fax: (313) 876-0177

The enumeration date for this NPI number is 3/19/2007 and was last updated on 7/8/2007.

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	163WA2000X	Registered Nurse	Administrator	4704115117	MICHIGAN	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: 11/14/2023

NPI Synchronization or Removal

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