Individual provider · Type 1 NPI
Idahlia Ethel Richardson, AGNP
Gerontology Nurse Practitioner · Houston, TX
NPI number
1295198596
Active
Practice location
1515 Holcombe Blvd
Houston, TX 77030-4009
Mailing address
P O Box 4439
Houston, TX 77210-4439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP129798 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1295198596
Idahlia Ethel Richardson, AGNP's National Provider Identifier is 1295198596, issued on Apr 4, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Houston, TX. The record was last updated on Sep 8, 2016.