Becky Randall

Physician Assistant · St. Cloud, MN

Individual Active NPI

NPI number 1427543735

Practice location

1406 6TH Ave N
St. Cloud, MN 56303-1901
Phone
(763) 742-7684

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NPI record

NPI
1427543735
Entity type
Individual (Type 1)
Enumeration date
June 28, 2018
Last updated
November 22, 2021
Certified
November 22, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 12679 MN

Mailing address

15364 92ND St NE
Otsego, MN 55330-7209
Phone
(763) 742-7684

About Becky Randall

Becky Randall is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1406 6TH Ave N, St. Cloud, MN 56303-1901. The NPI number 1427543735 was assigned on June 28, 2018 and the record was last updated on November 22, 2021.

Becky Randall lists a license in the registry: #12679 (MN) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Becky Randall?

The NPI number is 1427543735.

What is the phone number of Becky Randall?

The phone number listed for the practice location is (763) 742-7684.

Where is Becky Randall located?

1406 6TH Ave N, St. Cloud, MN 56303-1901.

What is the taxonomy code for Becky Randall?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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