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Tara Randolph, PNP
NPI 1760119622 · on the registry since 2022
Practice
- Address
- 17705 Hutchins Dr
Minnetonka, MN 55345 - Phone
- (952) 401-8252
- Fax
- (952) 401-8286
- Organisation at this address
- Asp Dental, Pc
Ian Park Dds Pa
Fairview Express Care
Charles L Hirt Dds Pa
South Lake Clinic, P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 43
Registry record
- Primary taxonomy
- Pediatric Nurse Practitioner
363LP0200X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota