Individual provider · Type 1 NPI
Kelli Richards, RN
Family Nurse Practitioner · Grand Rapids, MI
NPI number
1942011390
Active
Practice location
4100 Lake Dr SE
Grand Rapids, MI 49546-8292
Mailing address
100 Michigan St NE, MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704321531 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1942011390
Kelli Richards, RN's National Provider Identifier is 1942011390, issued on Jan 15, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 24, 2025.