Individual provider · Type 1 NPI
Autumn L. Richardson
Primary Care Nurse Practitioner · Phoenix, AZ
NPI number
1881206258
Active
Practice location
1510 E Flower St
Phoenix, AZ 85014-5698
Mailing address
1847 N 66th St
Scottsdale, AZ 85257-3140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 288293 (AZ) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1881206258
Autumn L. Richardson's National Provider Identifier is 1881206258, issued on Aug 18, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 11, 2024.