Provider Demographics
NPI:1548435597
Name:FRANCIS, RANDA MITCHEAL (CNM)
Entity type:Individual
Prefix:MS
First Name:RANDA
Middle Name:MITCHEAL
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 BERGEN AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4802
Mailing Address - Country:US
Mailing Address - Phone:201-451-6300
Mailing Address - Fax:
Practice Address - Street 1:714 BERGEN AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4802
Practice Address - Country:US
Practice Address - Phone:201-451-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJME00045500OtherNEW JERSEY