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NPI Code Detail

MEDICARE: DR. NICOLE R RICHARDSON DO

MEDICARE: DR. NICOLE R RICHARDSON DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianU7504TX
2207R00000XInternal Medicine PhysicianOS20023FL
3207R00000XInternal Medicine Physician0102202809VA
4207R00000XInternal Medicine PhysicianH0060781MD
5207R00000XInternal Medicine PhysicianDO034181DC

General Provider Information

NPI Number : 1023000775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE R RICHARDSON DO
Provider Business Mailing Address
First Line : 5614 CONNECTICUT AVE NW # 261
Second Line :
City : WASHINGTON
State : DC
Zip : 20015-2604
Country : US
Telephone Number : 202-787-9235
Fax Number :
Provider Business Practice Location Address
First Line : 1629 K ST NW STE 300
Second Line :
City : WASHINGTON
State : DC
Zip : 20006-1631
Country : US
Telephone Number : 202-787-9235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 04/21/2025

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Directions to “ DR. NICOLE R RICHARDSON DO” Practice Location

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