Randolph, Dara Ann
Randolph, Dara Ann is an sole proprietor health care provider with primary practice located at 401 South Queen Street Berkeley County Board Of Education, Martinsburg WV 25401. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Randolph, Dara Ann can be contacted via phone (304) 267-3595.Contact Information
Primary practice address
401 South Queen Street Berkeley County Board Of Education
Martinsburg WV 25401
Phone: (304) 267-3595
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 62088 | West Virginia |
Profile Details
| NPI number | 1477726834 |
|---|---|
| LBN Legal business name | Randolph, Dara Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Dec 22nd, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477726834 | NPPES |
| West Virginia | MEDICAID | 3810004180 |
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