Richardson, Diane

Richardson, Diane is an sole proprietor health care provider with primary practice located at 169 W 2710 South Cir Ste 202A , St George UT 84790-7205. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Richardson, Diane can be contacted via phone (435) 990-5443.

Contact Information

Primary practice address
169 W 2710 South Cir Ste 202A St George UT 84790-7205
Phone: (435) 990-5443
Fax: (480) 520-7515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 6599632-4405 Utah

Profile Details

NPI number 1285222752
LBN Legal business name Richardson, Diane
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2021
Last updated Nov 6th, 2023 - about last year

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 1285222752 NPPES
Utah Other 6599632-8900 APRN CONTROLLED SUBSTANCE
Utah Other 6599632-4405 APRN CONTROLLED SUBSTANCE

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