Richardson, Missy Lanett

Richardson, Missy Lanett is an individual health care provider with primary practice located at 10765 Kenworthy St Ste A , El Paso TX 79924-1748. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Richardson, Missy Lanett can be contacted via phone (915) 320-4021.

Contact Information

Primary practice address
10765 Kenworthy St Ste A El Paso TX 79924-1748
Phone: (915) 320-4021
Fax: (915) 320-4031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 606521 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-990035 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-02441 New Mexico

Profile Details

NPI number 1568653525
LBN Legal business name Richardson, Missy Lanett
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Jul 21st, 2020 - about 4 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 1568653525 NPPES
Colorado MEDICAID 31129374

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