Janice L Randel
Nurse Practitioner - Pediatrics
1500 Cooper St
Fort Worth
, Texas 76104-2710
Janice L Randel
Nurse Practitioner - Pediatrics
1500 Cooper St
Fort Worth
, Texas 76104-2710
(682) 885-7347
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Janice L Randel
- Po Box 99371
- Fort Worth, TX
- Zip : 76199-0371
- Fax : (682) 885-7347
- Phone : (682) 885-1855
Second Address
- Janice L Randel
- 1500 Cooper St
- Fort Worth, TX
- Zip : 76104-2710
- Fax : (817) 332-2506
- Phone : (682) 885-2140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 550916 | TX |
National Provider Identifier
| NPI | 1023096963 |
|---|---|
| Provider Name | Janice L Randel |
| First Address | Fort Worth, TX 76199-0371 |
| Second Address | Fort Worth, TX 76104-2710 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/12/2005 |
| Last Update Date | 13/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 208265303 | (05) | TX |
| 208265304 | CSHCN (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.