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NPI Code Detail

MEDICARE: ALAN NELSON RANDALL CRNA

MEDICARE:   ALAN NELSON RANDALL  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistAPN.1001421-CRNACO
2367500000XCertified Registered Nurse AnesthetistARNP 9204052FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063708618
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN NELSON RANDALL CRNA
Provider Business Mailing Address
First Line : 1 TAMPA GENERAL CIR
Second Line :
City : TAMPA
State : FL
Zip : 33606-3571
Country : US
Telephone Number : 813-844-4396
Fax Number : 813-844-4972
Provider Business Practice Location Address
First Line : 1 TAMPA GENERAL CIR
Second Line :
City : TAMPA
State : FL
Zip : 33606-3571
Country : US
Telephone Number : 813-844-4396
Fax Number : 813-844-4972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2011
Last Update Date : 12/08/2025

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