Individual provider · Type 1 NPI
Tyler Richardson
Pediatric Registered Nurse · Charleston, SC
NPI number
1093552630
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-0100
Mailing address
605 Trio Ln
Summerville, SC 29486-5442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | 240296 (SC) |
Pediatric Registered Nurse: Definition to come...
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About NPI 1093552630
Tyler Richardson's National Provider Identifier is 1093552630, issued on Jul 11, 2024. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Charleston, SC. The record was last updated on Jul 11, 2024.