Organization · Type 2 NPI
Radiant Souls Psychiatry PLLC
Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM
NPI number
1104772698
Active
Practice location
1438 Girard Blvd NE
Albuquerque, NM 87106-1821
Fax (505) 219-3830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104772698
Radiant Souls Psychiatry PLLC's National Provider Identifier is 1104772698, issued on Mar 6, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 6, 2026.