Randol, Brooke

Randol, Brooke is an individual health care provider with primary practice located at 2200 Randallia Dr , Fort Wayne IN 46805-4638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Randol, Brooke can be contacted via phone (260) 373-6070.

Contact Information

Primary practice address
2200 Randallia Dr Fort Wayne IN 46805-4638
Phone: (260) 373-6070
Fax: (260) 373-6704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 28195468A Indiana

Profile Details

NPI number 1275269623
LBN Legal business name Randol, Brooke
Credentials MSN, RN, AGCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2022
Last updated Jun 3rd, 2024 - about 6 months 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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