Amanda Lee Richardson PNP

NPI 1730456781 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1730456781
Gender Female
Enumeration Date 11/18/2011
Last Updated 01/11/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
1919 E THOMAS RD
PHOENIX AZ, 85016-7710, US
Phone (602) 933-1784
Fax (602) 933-1785
Business Location
1919 E THOMAS RD
BLDG 2108, SUITE 101
PHOENIX AZ, 85016-7710, US
Phone (602) 512-8030
Fax (602) 512-8161
Toxanomy
Taxonomy Code 363L00000X
License State Arizona
License Number AP424235
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According to our database, Mrs. Amanda Lee Richardson PNP NPI is 1730456781, taxonomy code is 363L00000X and license number is AP424235, license state is located at Arizona. Amanda Lee Richardson PNP physically located at 1919 E Thomas Rd, Phoenix AZ, 85016-7710. NPI Number Amanda Lee Richardson PNP has the Individual type.

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1730456781 NPI number is provided on an as is basis without warranty of any kind. 1730456781 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Lee Richardson PNP are for informational purposes only.