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

Shawnta R Randall

Individual provider Registered Nurse · NPI 1184079592

Shawnta R Randall is a Registered Nurse in Phoenix, Arizona. Licensed in Montana. Registered with an NPI since 2016.

Licensed in
MT
In the registry since
2016

Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 200-5383
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence NUR-RN-LIC-38864 (MT)

Record details

NPI number1184079592
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESMay 4, 2016
Mailing addressPo Box 31001-0698, Pasadena, CA 91110-5319

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