Provider Demographics
NPI:1780016212
Name:NEATE, RANDI M (MSN, RN, CPNP-PC/AC)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:M
Last Name:NEATE
Suffix:
Gender:F
Credentials:MSN, RN, CPNP-PC/AC
Other - Prefix:
Other - First Name:RANDI
Other - Middle Name:M
Other - Last Name:LEUCHTAG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11000 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1714
Mailing Address - Country:US
Mailing Address - Phone:216-844-6156
Mailing Address - Fax:216-844-8667
Practice Address - Street 1:11000 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1714
Practice Address - Country:US
Practice Address - Phone:216-844-6156
Practice Address - Fax:216-844-8667
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.14974-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics