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Contact Information

KELSEY RANDALL, FNP-BC
9003 E SHEA BLVD # AZ85260
SCOTTSDALE, AZ85260-6709
 Phone: 928-607-8345
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for KELSEY RANDALL · (Female)

NPI Number 1699385419
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/06/2020
Last updated 08/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 243374
  • AZ License # RN179953
  • AZ Other 243374 CERTIFIED NURSE PRACTITIONER LICENSE NUMBER
  • AZ Other 22467622 NATIONAL COUNCIL OF STATE BOARDS OF NURSING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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