Dawnita R Randolph, MSN, APRN, NP-C
Individual provider Active NPI Family Nurse Practitioner · Noble, OK
NPI 1780151118 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1780151118
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F10181005 (OK)
- Practice address
- 8703 80TH St
Noble, OK 73068-9741 - Phone
- (405) 820-5857
- NPI assigned
- Oct 24, 2018
- 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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10181005 | OK | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F10181005 | OK | Yes |
Addresses
Primary practice location
8703 80TH St
Noble, OK 73068-9741
Mailing address
8703 80TH St
Noble, OK 73068-9741
Phone (405) 820-5857
Other providers in Noble, OK
- Parkers United Inc.
- Yoyma Pedroso Lopez
- Brian Travis Pendarvis
- PF NHCC SNF Ops, LLC
- PTMS 3.0, LLC
- Red Med LLC
- Dawn Ripley
- Christianne Michelle Robberson
- Joseph C Rohr
- Cheryl Lynn Sanders
All providers in Noble, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. 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.