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

Mary Pat S Randall, RN

Individual provider Case Management Registered Nurse · NPI 1164860771

Mary Pat S Randall, RN is a Case Management Registered Nurse in Interlochen, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2013
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

11461 Fredmar Dr
Interlochen, MI 49643-9523
Phone: (231) 590-8624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 4704107861 (MI)

Record details

NPI number1164860771
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJune 6, 2013
Last updated in NPPESJune 6, 2013

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