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NPI Code Detail

MEDICARE: JULIE DENISE RANDOLPH RN

MEDICARE:   JULIE DENISE RANDOLPH  RN
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
1163WS0200XSchool Registered NurseRN167336AZ

General Provider Information

NPI Number : 1477485340
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE DENISE RANDOLPH RN
Provider Business Mailing Address
First Line : 2197 E FLINTLOCK DR
Second Line :
City : GILBERT
State : AZ
Zip : 85298-9762
Country : US
Telephone Number : 480-720-4799
Fax Number : 480-720-4799
Provider Business Practice Location Address
First Line : 2197 E FLINTLOCK DR
Second Line :
City : GILBERT
State : AZ
Zip : 85298-9762
Country : US
Telephone Number : 480-720-4799
Fax Number : 480-720-4799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ JULIE DENISE RANDOLPH RN” Practice Location

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