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Tawanna Amecca Randle, Registered Nurse

Registered Nurse in Colorado Springs, CO. Individual provider (NPI-1).

NPI number1982143418
StatusActive
Last updated in NPPESFeb 16, 2017

Details

NPI
1982143418
Entity type
Individual (NPI-1)
Name
Mrs. Tawanna Amecca Randle
Credential
Registered Nurse
Sex
Female
Sole proprietor
No
Enumeration date
Feb 16, 2017
Last updated
Feb 16, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse1624781COYes

Practice location

6208 Lehman Dr
Suite 201
Colorado Springs, CO 80918-8408

Phone 719-572-6100

Mailing address

7806 Stockton Dr
Fountain, CO 80817-1434

Phone 910-818-0591

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