Richardson, Nieasha Lanise

Richardson, Nieasha Lanise is an individual health care provider with primary practice located at 9894 E 121St St , Fishers IN 46037-4154. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Richardson, Nieasha Lanise can be contacted via phone (317) 621-2273.

Contact Information

Primary practice address
9894 E 121St St Fishers IN 46037-4154
Phone: (317) 621-2273
Fax: (317) 806-1653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003015A Indiana

Profile Details

NPI number 1053544536
LBN Legal business name Richardson, Nieasha Lanise
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2009
Last updated Feb 2nd, 2021 - about 3 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 1053544536 NPPES
Indiana Other P01588235 RR MEDICARE
Indiana MEDICAID 200954040 RR MEDICARE

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