IndividualActive
Carrie Randall
NPI 1619290939 · Psychiatric/Mental Health Registered Nurse · Fort Supply, OK
Provider details
- NPI number
- 1619290939
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 73304 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
1 Mile E. US Hwy 270
Fort Supply, OK 73841
Phone: (580) 766-2311
Fax: (580) 766-2017
Approximate (ZIP-level) locationGet directions
Mailing address
1222 10th St Ste 211
Woodward, OK 73801-3156
Registry dates
- Enumerated
- 2010-03-02
- Last updated
- 2010-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.