Provider Demographics
NPI:1861199192
Name:RANDLE, NANCY ALAYNE
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ALAYNE
Last Name:RANDLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:983 W WILBETH RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44314-1760
Mailing Address - Country:US
Mailing Address - Phone:330-285-5510
Mailing Address - Fax:
Practice Address - Street 1:983 W WILBETH RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44314-1760
Practice Address - Country:US
Practice Address - Phone:330-285-5510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health