person
Ms. Porsha Lynn Richardson, NURSEPRACTITIONER
Adult Health Nurse Practitioner in Midwest City, Oklahoma
NPI 1154621423

Porsha Lynn Richardson is an Adult Health Nurse Practitioner based in Midwest City, OK and is specialized in Adult Health. Porsha Lynn Richardson practices in Midwest City, OK and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Porsha Lynn Richardson is 1154621423 and holds a License No. RN182800 (Oklahoma).

The current practice location address for Porsha Lynn Richardson is 1117 S Douglas Blvd Ste B, Midwest City, OK and can be reached out via phone at 405-208-4573 and via fax at 405-429-4083.

Location: 1117 S Douglas Blvd Ste B, Midwest City, OK, 73140-1832
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Provider Profile Details
NPI Number
1154621423
Provider Name
Porsha Lynn Richardson
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
1117 S Douglas Blvd Ste B, Midwest City, OK, 73140-1832
Phone Number
405-208-4573
Fax Number
405-429-4083
Provider Enumeration Date
11/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83097 01 OK LICENSE
200532830A 05 OK
institution
Provider Business Practice Location Address Details
Address
1117 S Douglas Blvd Ste B
City
State
Zip
73130-5265
Phone Number
405-208-4573
Fax Number
405-429-4083
person
Provider Business Mailing Address Details
Address
1117 S Douglas Blvd Ste B
City
State
Zip
73130-5265
Phone Number
405-208-4573
Fax Number
405-429-4083
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
306010 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
RN182800 (Georgia)
Definition
Definition to come...
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