Randa Alarcon, BSN, RN
Individual provider Active NPI Registered Nurse · Oscoda, MI
NPI 1073192514 · NPPES record last updated Apr 2, 2021
Key facts
- NPI
- 1073192514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704372786 (MI)
- Practice address
- 5280 N Huron Rd
Oscoda, MI 48750-9560 - Phone
- (551) 358-0891
- NPI assigned
- Apr 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704372786 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704372786 | MI | Yes |
Addresses
Primary practice location
5280 N Huron Rd
Oscoda, MI 48750-9560
Mailing address
5551 Weir Rd
Oscoda, MI 48750-8922
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Oscoda | Direct |
Other providers in Oscoda, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.