Healthcare Provider Details

I. General information

NPI: 1457298127
Provider Name (Legal Business Name): PATRICIA CHRISTINE RICHARDS MEADER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 NELSON LN
FREMONT NE
68025-2060
US

IV. Provider business mailing address

1503 NELSON LN
FREMONT NE
68025-2060
US

V. Phone/Fax

Practice location:
  • Phone: 402-982-9223
  • Fax: 402-982-9223
Mailing address:
  • Phone: 402-982-9223
  • Fax: 402-982-9223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number63275
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: