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

Breanna Rose Randall

Individual provider Case Manager/Care Coordinator · NPI 1457833279

Breanna Rose Randall is a Case Manager/Care Coordinator in Mustang, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2018.

Licensed in
OK
In the registry since
2018
Specialties on file
2

Practice location Address checks out

932 W State Highway 152
Mustang, OK 73064-2301
Phone: (405) 577-5477
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 11319 (OK)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1457833279
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2018
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

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