National Provider Identifier

Anne Randle, PA

Anne Randle, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 662-5357.

NPI 1295329894Orchard Park, NYPhysician Assistant

Profile Overview

NPI
1295329894
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 24, 2021
Last Updated
May 03, 2021

Practice Location

  • 3670 S Benzing RD
  • Orchard Park, NY 14127-1737

Phone: (716) 662-5357

Mailing Address

  • 12 Thomaston Ln
  • Orchard Park, NY 14127-2526

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1295329894
Entity Type
Individual
Last Name
Randle
First Name
Anne
Credential
PA
Mailing Street Address
12 Thomaston Ln
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2526
Mailing Country
US
Mailing Phone
(716) 225-2302
Practice Street Address
3670 S Benzing RD
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1737
Practice Country
US
Practice Phone
(716) 662-5357
Enumeration Date
February 24, 2021
Last Updated
May 03, 2021
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
May 03, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)