MARY PAT S RANDALL R.N.
NPI 1164860771
Registered Nurse - Case Management in Interlochen, MI
Active since June 06, 2013
About Mary Pat S Randall R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY PAT S RANDALL R.N. (NPI 1164860771) is an individual case management provider in Interlochen, Michigan, licensed in Michigan (4704107861) and active in the NPI registry since June 2013.
NPPES Registry Identity
NPI1164860771
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameMARY PAT S RANDALLCredential: R.N.
Location Address11461 FREDMAR DRInterlochen, MI 49643-9523
Mailing Address11461 Fredmar DrInterlochen, MI 49643-9523 · (231) 590-8624
Phone(231) 590-8624
Sole ProprietorYes
Enumeration DateJune 6, 2013
✔ NPI 1164860771 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in MI · 4704107861
11461 FREDMAR DR, Interlochen, MI 49643
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164860771, enumerated as an "individual" on June 06, 2013.
The provider is located at 11461 FREDMAR DR INTERLOCHEN, MI 49643 and the phone number is (231) 590-8624.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.
