Individual
ABIGAIL RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5875 BREMO RD, RICHMOND, VA 23226-1934
(804) 287-7804
Mailing address
10217 FALCONBRIDGE DR, HENRICO, VA 23238-3809
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
VA00127434
VA
363LG0600X
Gerontology Nurse Practitioner
VA00127434
VA
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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