IndividualActive
Russell Randall
NPI 1417842014 · Registered Nurse First Assistant · Waterloo, IA
Provider details
- NPI number
- 1417842014
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 098331 (IA)
Mailing address
1825 Logan Ave
Waterloo, IA 50703-1916
Registry dates
- Enumerated
- 2025-06-12
- Last updated
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.