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General NPI Number Information
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NPI Number | 1578811097
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Entity Type | Individual
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Provider Name | PAMELA BROUGH RICHARDSON APRN, FNP-C, ENP-C
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Gender | Female
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1201 S CARSON ST
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City | CARSON CITY
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State | NV
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Zip | 89701-5225
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Country | US
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Telephone | 775-445-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 675 LUCAS DR
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City | CARSON CITY
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State | NV
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Zip | 89701-5600
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Country | US
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Telephone | 432-294-1698
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 61962
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 828304
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 593564
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License Number State | TX
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