Richardson, Tierra Shanel
Richardson, Tierra Shanel is an individual health care provider with primary practice located at 14300 Gallant Fox Ln , Bowie MD 20715-4003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Richardson, Tierra Shanel can be contacted via phone (301) 805-4348.Contact Information
Primary practice address
14300 Gallant Fox Ln
Bowie MD 20715-4003
Phone: (301) 805-4348
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | R20340 | Maryland |
Profile Details
| NPI number | 1740796945 |
|---|---|
| LBN Legal business name | Richardson, Tierra Shanel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2017 |
| Last updated | Jun 14th, 2022 - 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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