Individual provider · Type 1 NPI

Randall Bohanon, RN

Registered Nurse · St. George, UT

NPI number 1174115679 Active

Practice location

640 E 700 S Ste 3
St. George, UT 84770-4006

Mailing address

51 W Center St # 355
Orem, UT 84057-4605

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X9394954-3102 (UT)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1174115679

Randall Bohanon, RN's National Provider Identifier is 1174115679, issued on Feb 5, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. George, UT. The record was last updated on Feb 5, 2021.