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WALTER RANDALL LN100692
NPI 1386363042
Licensed Practical Nurse in Warren, MA

Active since August 25, 2022
1210 MAIN ST, WARREN, MA 01083(717) 916-0995 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Walter Randall Ln100692 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER RANDALL LN100692 (NPI 1386363042) is an individual licensed practical nurse in Warren, Massachusetts, licensed in Massachusetts (LN100692) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1386363042
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameWALTER RANDALLCredential: LN100692
Location Address1210 MAIN STWarren, MA 01083-9760
Mailing AddressPo Box 6284Brattleboro, VT 05302-6284 · (717) 916-0995
Phone(717) 916-0995
Sole ProprietorYes
Enumeration DateAugust 25, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1386363042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MA · LN100692
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1210 MAIN ST, Warren, MA 01083
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Randall's NPI number?

The NPI number for Walter Randall is 1386363042. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Walter Randall located?

Walter Randall practices at 1210 Main St, Warren, MA 01083. The listed phone number is (717) 916-0995.

What is Walter Randall's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Walter Randall was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.