MARY RANDOLPH RN
NPI 1396005443
Registered Nurse - Administrator in Dove Creek, CO

Q: What is Mary Randolph's NPI number?

The NPI number for Mary Randolph is 1396005443. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Q: What is Mary Randolph's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Randolph was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 23, 2012

497 WEST 4TH STREET, DOVE CREEK, CO 81324(970) 677-2387(970) 677-2948 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Randolph Rn NPPES

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

MARY RANDOLPH RN (NPI 1396005443) is an individual administrator provider in Dove Creek, Colorado, licensed in Colorado (115016) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1396005443

Entity TypeIndividualFemale

Primary Taxonomy163WA2000X

Provider Legal NameMARY RANDOLPHCredential: RN

Location Address497 WEST 4TH STREETDove Creek, CO 81324-0368

Mailing AddressPo Box 368Dove Creek, CO 81324-0368 · (970) 677-2387 · Fax (970) 677-2948

Phone(970) 677-2387

Fax(970) 677-2948

Sole ProprietorNo

Enumeration DateMay 23, 2012

✔ NPI 1396005443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers

Taxonomy Code163WA2000X

License✔ Licensed in CO · 115016

497 WEST 4TH STREET, Dove Creek, CO 81324

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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 Mary Randolph's NPI number?

The NPI number for Mary Randolph is 1396005443. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Mary Randolph located?

Mary Randolph practices at 497 West 4th Street, Dove Creek, CO 81324. The listed phone number is (970) 677-2387.

What is Mary Randolph's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Mary Randolph was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.