Provider Demographics
NPI:1245290196
Name:LEVIER, RANDI LISA (ARNP)
Entity type:Individual
Prefix:
First Name:RANDI
Middle Name:LISA
Last Name:LEVIER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:RANDI
Other - Middle Name:LISA
Other - Last Name:FINKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:900 VILLAGE SQUARE XING STE 250
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4551
Mailing Address - Country:US
Mailing Address - Phone:561-962-0101
Mailing Address - Fax:855-287-7646
Practice Address - Street 1:900 VILLAGE SQUARE XING STE 250
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-962-0101
Practice Address - Fax:855-287-7646
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2039882363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner