WALTER RANDALL LN100692
NPI 1386363042
Licensed Practical Nurse in Warren, MA
- Individual
- Male
- Licensed Practical Nurse
About WALTER RANDALL
This page provides the complete NPI Profile along with additional information for Walter Randall, a provider established in Warren, Massachusetts with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1386363042 assigned on August 2022. The practitioner's primary taxonomy code is 164W00000X with license number LN100692 (MA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1386363042 Verify this NPI
- Provider Name
- WALTER RANDALL LN100692
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1210 MAIN ST WARREN, MA 01083
- Location Phone
- (717) 916-0995
- Mailing Address
- PO BOX 6284 BRATTLEBORO, VT 05302
- Mailing Phone
- (717) 916-0995
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-25-2022
- Last Update Date
- 08-25-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- LN100692
- License State
- MA
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386363042, enumerated as an "individual" on August 25, 2022.
The provider is located at 1210 MAIN ST WARREN, MA 01083 and the phone number is (717) 916-0995.
Licensed Practical Nurse with taxonomy code 164W00000X.
