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

Mrs. Tara Randolph, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1760119622

Mrs. Tara Randolph, PNP is a Pediatric Nurse Practitioner in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

17705 Hutchins Dr
Minnetonka, MN 55345-4145
Phone: (952) 401-8252
Fax: (952) 401-8286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 9228 (MN)

Record details

NPI number1760119622
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESAugust 2, 2022
Certification dateJuly 28, 2022

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