Provider Demographics
NPI:1255572988
Name:SAVAGE, RANDI (RN, MS, LIC ACUPUNC)
Entity type:Individual
Prefix:
First Name:RANDI
Middle Name:
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:RN, MS, LIC ACUPUNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 SOUTHARD ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-7502
Mailing Address - Country:US
Mailing Address - Phone:303-710-9849
Mailing Address - Fax:
Practice Address - Street 1:1830 SOUTHARD ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-7502
Practice Address - Country:US
Practice Address - Phone:303-710-9849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO170081163W00000X
CO1291171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse