Walter Randall, LN100692
Licensed Practical Nurse in Warren, Massachusetts
1386363042- Practice location
- 1210 Main St, Warren, MA 01083-9760
- Phone
- 717-916-0995
- Fax
- —
- Last updated
- August 25, 2022
Walter Randall is a Licensed Practical Nurse based in Warren, MA. Walter Randall practices in Warren, MA and has the professional credentials of LN100692. The NPI Number for Walter Randall is 1386363042 and holds a License No. LN100692 (MA). The current practice location address for Walter Randall is 1210 Main St, Warren, MA 01083-9760 and can be reached out via phone at 717-916-0995.
Provider Profile Details
- NPI Number
- 1386363042
- Provider Name
- Walter Randall
- Credential
- LN100692
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1210 Main St, Warren, MA 01083-9760
- Phone Number
- 717-916-0995
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 25, 2022
- Last Update Date
- August 25, 2022
- Certification Date
- August 24, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1210 Main St
Warren, MA 01083-9760 - City
- Warren
- State
- Massachusetts
- Zip
- 01083-9760
- Phone Number
- 717-916-0995
Provider Business Mailing Address Details
- Address
- Po Box 6284
Brattleboro, VT 05302-6284 - City
- Brattleboro
- State
- VT
- Zip
- 05302-6284
- Phone Number
- 717-916-0995
License Information
- License Number
- LN100692
- License State
- MA
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Licensed Practical Nurses near Warren, MA
View all Licensed Practical Nurses in Warren →Frequently Asked Questions
What is the NPI number of Walter Randall, LN100692?
The NPI number of Walter Randall, LN100692 is 1386363042. It was assigned on August 25, 2022 and is currently active in the NPPES registry.
What is the specialty of Walter Randall, LN100692?
Walter Randall, LN100692 is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN100692.
Where does Walter Randall, LN100692 practice?
The practice location is 1210 Main St, Warren, MA 01083-9760. The office can be reached at 717-916-0995 (phone).
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 1386363042 directly on the NPPES registry website.