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Randa Lynn Belba, RN

Registered Nurse in O Fallon, IL. Individual provider (NPI-1).

NPI number1548959166
StatusActive
Last updated in NPPESMay 1, 2023

Details

NPI
1548959166
Entity type
Individual (NPI-1)
Name
Randa Lynn Belba
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
May 1, 2023
Certification date
May 1, 2023
Last updated
May 1, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse041335679ILYes

Practice location

209 Meadowbrook Dr
O Fallon, IL 62269-1737

Phone 618-530-6219

Mailing address

209 Meadowbrook Dr
O Fallon, IL 62269-1737

Phone 618-530-6219

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Registered Nurse providers in O Fallon, IL

All 9 Registered Nurse providers in O Fallon · All 1,289 providers in O Fallon

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