Provider Demographics
NPI:1619546355
Name:POSPISIL, RANDA (APRN)
Entity type:Individual
Prefix:
First Name:RANDA
Middle Name:
Last Name:POSPISIL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:RANDA
Other - Middle Name:
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1802 QUAIL RUN
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73065-5831
Mailing Address - Country:US
Mailing Address - Phone:405-570-8337
Mailing Address - Fax:
Practice Address - Street 1:3727 NW 63RD ST STE 112
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1923
Practice Address - Country:US
Practice Address - Phone:405-600-1210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK70727363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily