Individual provider · Type 1 NPI

Tyler James Richardson

Student in an Organized Health Care Education/Training Program · Auburn University, AL

NPI number 1780158220 Active

Practice location

2316 Walker Building
Auburn University, AL 36849-0001

Mailing address

104 Melissa Ln
Headland, AL 36345-2203

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XS12400 (AL)

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 1780158220

Tyler James Richardson's National Provider Identifier is 1780158220, issued on Jan 17, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Auburn University, AL. The record was last updated on Jan 17, 2019.