Randolph, Mercedes

Randolph, Mercedes is an individual health care provider with primary practice located at 661 Mahoning Ave Nw , Warren OH 44483-3457. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Randolph, Mercedes can be contacted via phone (330) 399-8716.

Contact Information

Primary practice address
661 Mahoning Ave Nw Warren OH 44483-3457
Phone: (330) 399-8716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X RN.462653 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.0031362 Ohio

Profile Details

NPI number 1205576394
LBN Legal business name Randolph, Mercedes
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2022
Last updated May 23rd, 2024 - about last year

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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