Provider Demographics
NPI:1508079062
Name:RANDS, MARIN (CNM, MSN, ARNP)
Entity Type:Individual
Prefix:
First Name:MARIN
Middle Name:
Last Name:RANDS
Suffix:
Gender:F
Credentials:CNM, MSN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4739 NW 3RD CT
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-9304
Mailing Address - Country:US
Mailing Address - Phone:954-263-0989
Mailing Address - Fax:
Practice Address - Street 1:3001 CORAL HILLS DR
Practice Address - Street 2:SUITE 360
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4172
Practice Address - Country:US
Practice Address - Phone:954-341-2916
Practice Address - Fax:954-341-2990
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2065662363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology