person
Kristy J Richardson, NP
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1093946006

Kristy J Richardson is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Kristy J Richardson practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Kristy J Richardson is 1093946006 and holds a License No. 71003001A (Indiana).

The current practice location address for Kristy J Richardson is 7601 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-8686 and via fax at 260-436-8585.

Location: 7601 W Jefferson Blvd, Fort Wayne, IN, 46801-2526
person
Provider Profile Details
NPI Number
1093946006
Provider Name
Kristy J Richardson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
7601 W Jefferson Blvd, Fort Wayne, IN, 46801-2526
Phone Number
260-436-8686
Fax Number
260-436-8585
Provider Enumeration Date
08/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01478538 01 IN RAILROAD MEDICARE
200957030 05 IN
000000816667 01 ANTHEM
institution
Provider Business Practice Location Address Details
Address
7601 W Jefferson Blvd
City
State
Zip
46804-4133
Phone Number
260-436-8686
Fax Number
260-436-8585
person
Provider Business Mailing Address Details
Address
7601 W Jefferson Blvd
City
State
Zip
46804-4133
Phone Number
260-436-8686
Fax Number
260-436-8585
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71003001A (Indiana)
Definition
Definition to come...
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