Individual provider · Type 1 NPI
Leiana Richardson
Pediatric Nurse Practitioner · Bronx, NY
NPI number
1700930047
Active
Practice location
1400 Pelham Pkwy S, Room 803
Bronx, NY 10461-1138
Mailing address
1956 Burke Ave
Bronx, NY 10469-3183
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F381298-1 (NY) |
| Speech-Language Pathologist | 235Z00000X | None listed |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1700930047
Leiana Richardson's National Provider Identifier is 1700930047, issued on Jan 23, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bronx, NY. The record was last updated on Sep 3, 2015.