Ginger Bohn Randolph, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Salem, WI
NPI 1508428707 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1508428707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9363-33 (WI)
- Practice address
- 7137 236TH Ave
Salem, WI 53168-8975 - Phone
- (262) 846-4422
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9363-33 | WI | Yes |
Addresses
Primary practice location
7137 236TH Ave
Salem, WI 53168-8975
Mailing address
7137 236TH Ave
Salem, WI 53168-8975
Other providers in Salem, WI
- Soohyon Oh
- Olivine, S.C.
- Paddock Lake Family Practice, SC
- Peter Capelli MD S.C.
- Jennifer Marie Plans
- Alyssa M Ricchio
- Amanda Rindal
- Kathryn Robers
- Salem School District
- Salem Vision Center Inc
All providers in Salem, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. 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.