IndividualActive
Courtney Randol
NPI 1629601471 · Licensed Practical Nurse · Palmer, AK
Provider details
- NPI number
- 1629601471
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6044 (AK)
Specialties & taxonomies
Nursing Service Providers
Practice location
14405 E Pace Dr.
Palmer, AK 99645
Phone: (907) 746-1563
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 411
Palmer, AK 99645-0411
Registry dates
- Enumerated
- 2020-02-20
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.