Individual provider · Type 1 NPI

Olivia Richardson

Family Nurse Practitioner · Clendenin, WV

NPI number 1225482250 Active

Practice location

107 Koontz Ave Ste 200
Clendenin, WV 25045-9581

Fax (888) 987-8014

Mailing address

104 Alex Ln
Charleston, WV 25304-2952

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X110586 (WV)

Family Nurse Practitioner: Definition to come...

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About NPI 1225482250

Olivia Richardson's National Provider Identifier is 1225482250, issued on Apr 15, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clendenin, WV. The record was last updated on Mar 11, 2026.