Active NPIIndividual provider

Annely Richardson, MD

Allergy & Immunology in St Louis Park, Minnesota

NPI Number1699930552
Practice location
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Fax
—
Last updated
March 12, 2021

Annely Richardson is an Allergy & Immunology based in St Louis Park, MN. Annely Richardson practices in St Louis Park, MN and has the professional credentials of MD. The NPI Number for Annely Richardson is 1699930552 and holds a License No. 61890 (MN). The current practice location address for Annely Richardson is 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 and can be reached out via phone at 952-993-3286.

Provider Profile Details

NPI Number
1699930552
Provider Name
Annely Richardson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone Number
952-993-3286
Primary Taxonomy
Allergy & Immunology · 207K00000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2008
Last Update Date
March 12, 2021
Certification Date
March 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Zip
55416-2527
Phone Number
952-993-3286
St Louis Park, MN 55416Get directions →

Provider Business Mailing Address Details

Address
8170 33RD Ave S # Ms 21110Q
Bloomington, MN 55425-4516
City
Bloomington
State
MN
Zip
55425-4516

License Information

License Number (1)
61890
License State (1)
MN
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
61890
License State (2)
MN
Taxonomy (2)
Allergy & Immunology · 207K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Annely Richardson, MD?

The NPI number of Annely Richardson, MD is 1699930552. It was assigned on July 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Annely Richardson, MD?

Annely Richardson, MD is registered under the primary taxonomy Allergy & Immunology (code 207K00000X), licensed in MN under license number 61890.

Where does Annely Richardson, MD practice?

The practice location is 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527. The office can be reached at 952-993-3286 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699930552 directly on the NPPES registry website.

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