Healthcare Provider Details

I. General information

NPI: 1447519038
Provider Name (Legal Business Name): ERIN RICHARDSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN ANDERSON M.D.

II. Dates (important events)

Enumeration Date: 05/16/2012
Last Update Date: 08/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 PLEASANT ST STE 300
DES MOINES IA
50309-1416
US

IV. Provider business mailing address

1200 PLEASANT STREET SOUTH 2 ROOM 236
DES MOINES IA
50309-1406
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-6500
  • Fax: 515-241-8911
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberMD-45100
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: