Nanette Randle

NPI 1780016584 · on the registry since 2013

Practice

Address: 1402 S Grand Blvd
M238
Saint Louis, MO 63104
Phone: (314) 977-8462
Fax: (314) 771-8575
Organisation at this address: St Louis University
St. Louis University
Ssm Health Care Group
Saint Louis University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 175

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-04-06

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 Missouri