Lookup NPI Numbers from the NPI Registry
NPI Profile for RANDY P VAWDREY in POCATELLO, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1376568493 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 07/12/2006 | |
| Last updated | 07/09/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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RANDY P VAWDREY
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RANDY P VAWDREY, NP