Randalla Taren Reynolds, APRN, FNP-C
Nurse Practitioner, Family in Lake Charles, LA. Individual provider (NPI-1).
NPI number1730516162
StatusActive
Last updated in NPPESMar 3, 2025
Details
- NPI
- 1730516162
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Randalla Taren Reynolds
- Credential
- APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2013
- Certification date
- Mar 3, 2025
- Last updated
- Mar 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP07476 | LA | Yes |
Other names
- Randalla Taren Curruth (Other Name)
Practice location
1000 Walters StLake Charles, LA 70607-4647
Phone 337-480-8100
Mailing address
1000 Walters StLake Charles, LA 70607-4647
Phone 337-480-8100
Other practice locations
2900 2nd Ave
Lake Charles, LA 70601-8906
Lake Charles, LA 70601-8906
Phone 337-480-8175 · Fax 337-480-8282
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