# VICTORIA LANE RANDALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1396478830
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | 1182767 | TX | — |
| 363LG0600X | Gerontology Nurse Practitioner | 226274 | LA | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | 230019 | AR | — |
| 363LG0600X | Gerontology Nurse Practitioner | 3-001773 | AL | — |
| 363LG0600X | Gerontology Nurse Practitioner | 316634 | AZ | — |
| 363LG0600X | Gerontology Nurse Practitioner | 36424 | TN | — |
| 363LG0600X | Gerontology Nurse Practitioner | 4021515 | KY | — |
| 363LG0600X | Gerontology Nurse Practitioner | 79546 | NM | — |
| 363LG0600X | Gerontology Nurse Practitioner | 878300 | NV | — |
| 363LG0600X | Gerontology Nurse Practitioner | C-APN.0103663-C-NP | CO | — |

## Other

- **Enumeration date:** 07/01/2022
- **Last updated:** 04/01/2025