Individual provider · Type 1 NPI

Nathan James Richard, PA

Medical Physician Assistant · Meridian, ID

NPI number 1366993883 Active

Practice location

3025 W Cherry Lane, Ste B
Meridian, ID 83642

Call (208) 302-6400 Map

Fax (208) 302-6455

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XPA-1440 (ID)

Medical Physician Assistant: Definition to come...

12 other providers at this address

Other medical physician assistant providers in Meridian

See all in Meridian →

About NPI 1366993883

Nathan James Richard, PA's National Provider Identifier is 1366993883, issued on Oct 19, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Meridian, ID. The record was last updated on Nov 23, 2016.