Individual provider · Type 1 NPI
Krystal Richards
Adult Health Nurse Practitioner · Rosedale, NY
NPI number
1053968966
Active
Practice location
14833 Weller Ln
Rosedale, NY 11422-2811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F309212-01 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1053968966
Krystal Richards's National Provider Identifier is 1053968966, issued on Aug 25, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rosedale, NY. The record was last updated on Aug 25, 2019.