Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melanie Marie Hosbrough-Randleman, MEDTATTOOARTIST

Individual provider Specialist · NPI 1720707045

Melanie Marie Hosbrough-Randleman, MEDTATTOOARTIST is a Specialist in Washington, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

12 Valley Forge Plz
Washington, IL 61571-2354
Phone: (309) 885-2264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (IL)
Specialist Taxonomy 174400000X · Licence 14054 (IL)

Record details

NPI number1720707045
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDTATTOOARTIST
Sole proprietorYes
NPI enumeratedAugust 22, 2022
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

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