ELAINE J RANDALL

LAFAYETTE, IN
NPI1740357508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28187658A)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  NA2072)
Enumeration Date2006-11-29
Last Update Date2010-04-27
Business Address
-- ELAINE J RANDALL CRNA
2600 GREENBUSH ST
LAFAYETTE, IN 47904-2477
Phone number: 765-448-8000
Mailing Address
-- ELAINE J RANDALL CRNA
PO BOX 5545
LAFAYETTE, IN 47903-5545
Phone number: 765-448-8000