Individual provider · Type 1 NPI

Leesha Nicole Richardson, AGNP-C

Gerontology Nurse Practitioner · Phoenix, AZ

NPI number 1336073766 Active

Practice location

2902 W Agua Fria Fwy Ste 1000
Phoenix, AZ 85027-3969

Mailing address

2133 W Tanya Trl
Phoenix, AZ 85086-4372

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN-RNP280542 (AZ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1336073766

Leesha Nicole Richardson, AGNP-C's National Provider Identifier is 1336073766, issued on Jun 10, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 2, 2026.