Individual provider · Type 1 NPI
Sandra J. Richardson, NP
Obstetrics & Gynecology Nurse Practitioner · Missoula, MT
NPI number
1801560552
Active
Practice location
500 W Broadway St
Missoula, MT 59802-4008
Fax (406) 329-7103
Mailing address
PO Box 7609
Missoula, MT 59807-7609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 21687 (MT) |
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 177829 (MT) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1801560552
Sandra J. Richardson, NP's National Provider Identifier is 1801560552, issued on Aug 5, 2021. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Missoula, MT. The record was last updated on Mar 22, 2022.