Mardell C Richmond in Port Angeles - Nurse Practitioner
Mardell C Richmond - NPI 1972571172
Mardell C Richmond is a Nurse Practitioner in Port Angeles, Washington. Mardell C Richmond practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mardell C Richmond is 1972571172. The last update date is 2007-07-08.
Mardell C Richmond's current location address is 939 Caroline St, Port Angeles, Washington. You can contact this provider via phone number 3604177000. The mailing address for Mardell C Richmond is 939 Caroline St, Port Angeles, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mardell C Richmond |
|---|---|
| Address | 939 Caroline St, Port Angeles, Washington |
| Phone Number | 3604177000 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1972571172 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 939 Caroline St |
|---|---|
| City | Port Angeles |
| State | Washington (WA) |
| Post Code | 983623909 |
| Phone Number | 3604177000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP30004046 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1709RI | REGENCE BLUE SHIELD RIDER | ||
| 9634247 | WA | -- | |
| P00024604 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Mardell C Richmond by the Centers for Medicare & Medicaid Services (CMS)?
The Mardell C Richmond has been assigned the NPI (National Provider Identifier) 1972571172. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Mardell C Richmond is physically located?
The Mardell C Richmond is situated at the following address: 939 Caroline St, Port Angeles, WA 983623909.
What is the area of specialization for Mardell C Richmond, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mardell C Richmond is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972571172 to Mardell C Richmond?
The Centers for Medicare & Medicaid Services assigned the 1972571172 to Mardell C Richmond on 2006-03-14.
When was the information regarding Mardell C Richmond most recently updated?
The details pertaining to the Mardell C Richmond, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.