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Randi Nicole Bouchillon, CRNP,FNP-C
Family Nurse Practitioner in Fort Washington, Maryland
NPI 1437888138

Randi Nicole Bouchillon is a Family Nurse Practitioner based in Leonardtown, MD and is specialized in Family. Randi Nicole Bouchillon practices in Fort Washington, MD and has the professional credentials of CRNP,FNP-C. The NPI Number for Randi Nicole Bouchillon is 1437888138 and holds a License No. R244896 (Maryland).

The current practice location address for Randi Nicole Bouchillon is 12807 Old Fort Rd, Fort Washington, MD and can be reached out via phone at 301-292-7400.

Location: 12807 Old Fort Rd, Fort Washington, MD, 20650-4753
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Provider Profile Details
NPI Number
1437888138
Provider Name
Randi Nicole Bouchillon
Credential
CRNP,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
12807 Old Fort Rd, Fort Washington, MD, 20650-4753
Phone Number
301-292-7400
Fax Number
Provider Enumeration Date
06/08/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R244896 01 MD RN
institution
Provider Business Practice Location Address Details
Address
12807 Old Fort Rd
City
State
Zip
20744-2876
Phone Number
301-292-7400
Fax Number
person
Provider Business Mailing Address Details
Address
12807 Old Fort Rd
City
State
Zip
20744-2876
Phone Number
301-292-7400
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
R244896 (Maryland)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R244896 (Maryland)
Definition
Definition to come...
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