Individual provider · Type 1 NPI

Mia Richardson

Student in an Organized Health Care Education/Training Program · Henderson, NV

NPI number 1518784602 Active

Practice location

2875 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4842

Call (800) 966-0535 Map

Mailing address

1500 N Rainbow Blvd Unit 333
Las Vegas, NV 89108-0005

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X225X00000X (NV)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1518784602

Mia Richardson's National Provider Identifier is 1518784602, issued on Sep 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Henderson, NV. The record was last updated on Oct 29, 2026.