Active NPIIndividual provider

Randa Mougarbel

Nurse Practitioner, Adult Health in Brockton, Massachusetts

NPI Number1144729344
Practice location
25 Libby St, Brockton, MA 02302-2949
Fax
508-894-0772
Last updated
July 10, 2026

Randa Mougarbel is a Nurse Practitioner, Adult Health based in Brockton, MA. Randa Mougarbel practices in Brockton, MA. The NPI Number for Randa Mougarbel is 1144729344 and holds a License No. 309093 (NY). The current practice location address for Randa Mougarbel is 25 Libby St, Brockton, MA 02302-2949 and can be reached out via phone at 508-894-0400 and via fax at 508-894-0772.

Provider Profile Details

NPI Number
1144729344
Provider Name
Randa Mougarbel
Provider Entity Type
Individual
Gender
Female
Address
25 Libby St, Brockton, MA 02302-2949
Phone Number
508-894-0400
Fax Number
508-894-0772
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
February 3, 2018
Last Update Date
July 10, 2026
Certification Date
July 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Libby St
Brockton, MA 02302-2949
Zip
02302-2949
Phone Number
508-894-0400
Fax Number
508-894-0772
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
25 Libby St
Brockton, MA 02302-2949
City
Brockton
State
MA
Zip
02302-2949
Phone Number
508-894-0400

License Information

License Number (1)
309093
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
RN2272611
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X · Primary
License Number (3)
RN2272611
License State (3)
MA
Taxonomy (3)
Registered Nurse, Orthopedic · 163WX0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Randa Mougarbel?

The NPI number of Randa Mougarbel is 1144729344. It was assigned on February 3, 2018 and is currently active in the NPPES registry.

What is the specialty of Randa Mougarbel?

Randa Mougarbel is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NY under license number 309093.

Where does Randa Mougarbel practice?

The practice location is 25 Libby St, Brockton, MA 02302-2949. The office can be reached at 508-894-0400 (phone) or 508-894-0772 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144729344 directly on the NPPES registry website.

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