Healthcare Provider Details

I. General information

NPI: 1770219941
Provider Name (Legal Business Name): JANELLE M RICHART ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2022
Last Update Date: 07/28/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2560 NE HOPKINS CT
PULLMAN WA
99163-5622
US

IV. Provider business mailing address

2560 NE HOPKINS CT
PULLMAN WA
99163-5622
US

V. Phone/Fax

Practice location:
  • Phone: 509-338-3800
  • Fax: 509-339-2702
Mailing address:
  • Phone: 509-338-3800
  • Fax: 509-339-2702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61338806
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: