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Contact Information

MERCEDES RANDOLPH, APRN
661 MAHONING AVE NW
WARREN, OH44483-3457
 Phone: 330-399-8716
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

163WP0200X
Indicates primary specialty

NPI Profile & details for MERCEDES RANDOLPH · (Female)

NPI Number 1205576394
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 03/29/2022
Last updated 05/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • OH License # APRN.CNP.0031362
  • OH License # RN.462653
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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