Randa, Mayra

Randa, Mayra is an individual health care provider with primary practice located at 2180 Manchester Rd , Wheaton IL 60187-4580. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Randa, Mayra can be contacted via phone (630) 665-4330.

Contact Information

Primary practice address
2180 Manchester Rd Wheaton IL 60187-4580
Phone: (630) 665-4330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014225 Illinois

Profile Details

NPI number 1902262918
LBN Legal business name Randa, Mayra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2016
Last updated Jul 7th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers