MEDICARE: MRS. GWIN RICHTER RN

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
1	163W00000X	Registered Nurse	173679	CA

General Provider Information

NPI Number	:	1316125750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GWIN RICHTER RN

Provider Business Mailing Address
First Line	:	578 RIO LINDO AVE
Second Line	:	SUITE #1
City	:	CHICO
State	:	CA
Zip	:	95926-1800
Country	:	US
Telephone Number	:	530-894-5585
Fax Number	:

Provider Business Practice Location Address
First Line	:	578 RIO LINDO AVE
Second Line	:	SUITE #1
City	:	CHICO
State	:	CA
Zip	:	95926-1800
Country	:	US
Telephone Number	:	530-894-5585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2008
Last Update Date	:	02/07/2008

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