Richards-Hercher, Elaine Theresa

Richards-Hercher, Elaine Theresa is an individual health care provider with primary practice located at 1155 E Mountain Blvd , Wilkes Barre PA 18702-7906. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Richards-Hercher, Elaine Theresa can be contacted via phone (570) 808-7916.

Contact Information

Primary practice address
1155 E Mountain Blvd Wilkes Barre PA 18702-7906
Phone: (570) 808-7916
Fax: (570) 808-6006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN342560L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW008477L Pennsylvania

Profile Details

NPI number 1568448835
LBN Legal business name Richards-Hercher, Elaine Theresa
Credentials RN / CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jan 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568448835 NPPES
Pennsylvania MEDICAID 101506448001

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