NICOLE ROSE RANDAZZA NPI 1205523818

NPI Information

  • NPI: 1205523818
  • Provider Name: NICOLE ROSE RANDAZZA
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 240 SOUTH 40TH STREET
    OFFICE OF CLINICAL AFFAIRS-S6A EVANS
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 573-2588

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NPI Details

Nicole Rose Randazza is a student in an organized health care education training program in Philadelphia, PA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Nicole Rose Randazza NPI is 1205523818. 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:

240 SOUTH 40TH STREET
OFFICE OF CLINICAL AFFAIRS-S6A EVANS
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 573-2588

The enumeration date for this NPI number is 4/24/2023 and was last updated on 4/24/2023.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 3/30/2025

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