Randall Bohanon, RN

Registered Nurse · St George, UT

Individual Active NPI

NPI number 1174115679

Practice location

640 E 700 S Ste 3
St George, UT 84770-4006
Phone
(435) 673-1004

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NPI record

NPI
1174115679
Entity type
Individual (Type 1)
Enumeration date
February 5, 2021
Last updated
February 5, 2021
Certified
February 5, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 9394954-3102 UT

Mailing address

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

About Randall Bohanon

Randall Bohanon, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 640 E 700 S Ste 3, St George, UT 84770-4006. The NPI number 1174115679 was assigned on February 5, 2021 and the record was last updated on February 5, 2021.

Randall Bohanon lists a license in the registry: #9394954-3102 (UT) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Randall Bohanon, RN?

The NPI number is 1174115679.

What is the phone number of Randall Bohanon?

The phone number listed for the practice location is (435) 673-1004.

Where is Randall Bohanon located?

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

What is the taxonomy code for Randall Bohanon?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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