MEDICARE: JOSHUA RICHARDS CRNA

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	367500000X	Certified Registered Nurse Anesthetist	240676	NC
2	367500000X	Certified Registered Nurse Anesthetist	565952	PA

General Provider Information

NPI Number	:	1649725516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA RICHARDS CRNA

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:	717-851-6969

Provider Business Practice Location Address
First Line	:	3270 LYNN RIDGE DR
Second Line	:	APT 2F
City	:	RALEIGH
State	:	NC
Zip	:	27613-8943
Country	:	US
Telephone Number	:	814-577-9486
Fax Number	:

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

Provider Enumeration Date	:	08/22/2016
Last Update Date	:	04/06/2026

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