Individual
OLIVIA RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-PMHNP
Contact information
Practice address
4550 EUBANK BLVD NE STE 107, ALBUQUERQUE, NM 87111-2565
(505) 503-8806
(888) 503-8511
Mailing address
1525 N RENAISSANCE BLVD NE, ALBUQUERQUE, NM 87107-6827
(276) 734-2799
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
77359
NM
Other
Enumeration date
06/04/2024
Last updated
12/09/2025
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