Individual provider · Type 1 NPI

Mary Pat S. Randall, R.N.

Case Management Registered Nurse · Interlochen, MI

NPI number 1164860771 Active

Practice location

11461 Fredmar Dr
Interlochen, MI 49643-9523

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X4704107861 (MI)

Case Management Registered Nurse: Definition to come...

Another provider at this address

About NPI 1164860771

Mary Pat S. Randall, R.N.'s National Provider Identifier is 1164860771, issued on Jun 6, 2013. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Interlochen, MI. The record was last updated on Jun 6, 2013.