Blake Randolph, NP-C

NPI #1295382786 in Reinbeck, Iowa

Provider Information

NPI Number: 1295382786
Entity Type: Individual
Name: Blake Randolph, NP-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP-C
Enumeration Date: Aug 20, 2019
Last Updated: Aug 21, 2025

Practice Location

Address: 604 WEST ST
City: Reinbeck
State: Iowa
ZIP Code: 50669-1353
Phone: (319) 575-0180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner	363L00000X	Primary

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