person
Courtney Dyan Randolph, ARNP
Family Nurse Practitioner in Bonney Lake, Washington
NPI 1558071597

Courtney Dyan Randolph is a Family Nurse Practitioner based in Bonney Lake, WA and is specialized in Family. Courtney Dyan Randolph practices in Bonney Lake, WA and has the professional credentials of ARNP. The NPI Number for Courtney Dyan Randolph is 1558071597 and holds a License No. AP61372574 (Washington).

The current practice location address for Courtney Dyan Randolph is 10004 204Th Ave E Fl 3, Bonney Lake, WA and can be reached out via phone at 253-848-5951 and via fax at 253-845-7073. You can also correspond with Courtney Dyan Randolph through the mailing address at 10004 204TH AVE E FL 3, BONNEY LAKE, WA - 98391-6539 (mailing address contact number: 253-848-5951).

Location: 10004 204Th Ave E Fl 3, Bonney Lake, WA, 98391-6539
person
Provider Profile Details
NPI Number
1558071597
Provider Name
Courtney Dyan Randolph
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
10004 204Th Ave E Fl 3, Bonney Lake, WA, 98391-6539
Phone Number
253-848-5951
Fax Number
253-845-7073
Provider Enumeration Date
11/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10004 204Th Ave E Fl 3
City
State
Zip
98391-6539
Phone Number
253-848-5951
Fax Number
253-845-7073
person
Provider Business Mailing Address Details
Address
10004 204Th Ave E Fl 3
City
State
Zip
98391-6539
Phone Number
253-848-5951
Fax Number
253-845-7073
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP61372574 (Washington)
Definition
Definition to come...
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