Provider Demographics
NPI:1245200500
Name:RANDL-JAMES, BARBARA NAN (RN, NP, COHN-S)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:NAN
Last Name:RANDL-JAMES
Suffix:
Gender:F
Credentials:RN, NP, COHN-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 30TH LN
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81006-9551
Mailing Address - Country:US
Mailing Address - Phone:719-549-4176
Mailing Address - Fax:719-549-4406
Practice Address - Street 1:PUEBLO CHEMICAL DEPOT OCCUPATIONAL HEALTH CLINIC
Practice Address - Street 2:45825 HIGHWAY 96 EAST
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81006-9330
Practice Address - Country:US
Practice Address - Phone:719-549-4176
Practice Address - Fax:719-549-4406
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO51651163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health