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

Russell Joseph Randall

Individual provider Registered Nurse First Assistant · NPI 1417842014

Russell Joseph Randall is a Registered Nurse First Assistant in Waterloo, Iowa. Licensed in Iowa. Registered with an NPI since 2025.

Licensed in
IA
In the registry since
2025

Practice location Address checks out

1825 Logan Ave
Waterloo, IA 50703-1916
Phone: (319) 235-3886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse First Assistant (primary) Taxonomy 163WR0006X · Licence 098331 (IA)

Record details

NPI number1417842014
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address1825 Logan Ave, Waterloo, IA 50703-1916

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