Randolph, Courtney Dyan
Randolph, Courtney Dyan is an individual health care provider with primary practice located at 10004 204Th Ave E Fl 3 , Bonney Lake WA 98391-6539. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Randolph, Courtney Dyan can be contacted via phone (253) 848-5951.Contact Information
Primary practice address
10004 204Th Ave E Fl 3
Bonney Lake WA 98391-6539
Phone: (253) 848-5951
Fax: (253) 845-7073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP61372574 | Washington |
Profile Details
| NPI number | 1558071597 |
|---|---|
| LBN Legal business name | Randolph, Courtney Dyan |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2022 |
| Last updated | Nov 30th, 2022 - about 2 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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