Randleman, Elizabeth

Randleman, Elizabeth is an sole proprietor health care provider with primary practice located at 557 Brookdale Dr , Statesville NC 28677-4107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Randleman, Elizabeth can be contacted via phone (704) 873-5661.

Contact Information

Primary practice address
557 Brookdale Dr Statesville NC 28677-4107
Phone: (704) 873-5661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 015912 North Carolina

Profile Details

NPI number 1841201613
LBN Legal business name Randleman, Elizabeth
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841201613 NPPES
North Carolina MEDICAID 8049999

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