GLENNIS RANDAZZO


Address: 43 Morgans Cove Dr, Isle of Palms, SC 29451-2667
Phone: 2012130636

GLENNIS RANDAZZO (NPI# 1114350923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114350923
Entity Type Individual
Full Name GLENNIS RANDAZZO
Other Name GLENNIS RANDAZZO
Credential GLENNIS RANDAZZO
Practice Address 43 Morgans Cove Dr
Isle of Palms
SC 29451-2667
Practice Telephone 2012130636
Enumeration Date 2013-08-15
Last Update Date 2013-08-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
R106222 SC Nursing Service Providers

Office Location

Street Address 43 MORGANS COVE DR
City ISLE OF PALMS
State SC
Zip Code 29451-2667

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235167784 Brian Athan Armstrong Specialist 17 23rd Ave., Isle of Palms, SC 29451 2006-06-30
1225081946 Thomas W Uhde Psychiatry & Neurology 67 President St, Msc 861, Medical University of Sc, Charleston, SC 29451 2006-05-17
1063993178 Alyssa Insabella Occupational Therapy Assistant 9565 Hwy 78, Bldg. 700, Ste. 102, Ladson, SC 29451 2018-08-27
1750380499 Richard George Wagner Jr. Pediatrics 519 Ocean Blvd, Isle of Palms, SC 29451-2132 2005-07-15
1063646461 Meghan Barbara Casey Behavioral Analyst 501 Palm Blvd, Isle of Palms, SC 29451-2139 2009-05-13
1215148986 Larry D Amick Pharmacist 505 Palm Blvd, Isle of Palms, SC 29451-2139 2007-05-24
1770819575 Aspire Community/Behavioral Health 501 Palm Blvd, Isle of Palms, SC 29451-2139 2009-10-29
1316076607 Neil S Oconnor Podiatrist 402 Palm Blvd, Isle of Palms, SC 29451-2146 2007-03-05
1275929218 Delta of Isle of Palms LLC Pharmacy 1400 Palm Blvd, Isle of Palms, SC 29451-2280 2015-04-07
1962801621 Joseph Gandy Pharmacist 1400 Palm Blvd, Suite E, Isle of Palms, SC 29451-2280 2014-08-19
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346841400 Tiffany Holcombe Price Registered Nurse 160 Ivory Key Rd, Saluda, SC 29138-8177 2020-11-05
1437759222 Amy P Etheridge Registered Nurse 3650 Park Avenue Blvd, Mount Pleasant, SC 29466-7242 2020-10-29
1679187421 Natalie Padgett Registered Nurse 1025 Sea Island Pkwy, Saint Helena Island, SC 29920-4399 2020-08-31
1316573678 Amanda Kalinsky Registered Nurse 3100 Carner Ave, North Charleston, SC 29405-3001 2020-03-19
1396395588 Elizabeth Fisher Registered Nurse 409 Airy Springs Rd, Easley, SC 29642-8702 2019-09-19
1194373639 Opal Elaine Sobieszczyk Registered Nurse 42 Isle of Hope, Mt Pleasant, SC 29464-6634 2019-08-28
1740836139 Kellie Elizabeth Baker Registered Nurse 1475 E Liberty St, York, SC 29745-6440 2019-08-13
1871148528 Kelly Jo Childers Registered Nurse 1010 Devinney Rd, York, SC 29745-2127 2019-08-08
1003460668 Laureen Mitchell Registered Nurse 2100 Bull St., Columbia, SC 29201-2104 2019-07-31
1578028791 Brandi Hallman Registered Nurse 300 Matthews Drive, Saluda, SC 29138 2019-02-01
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Competitor

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City ISLE OF PALMS
Zip Code 29451

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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