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NPI Code Detail

MEDICARE: BRANDI MICHELLE RICHARDS NP

MEDICARE: BRANDI MICHELLE RICHARDS NP
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
1363LF0000XFamily Nurse PractitionerRN245234GA

General Provider Information

NPI Number : 1003395690
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDI MICHELLE RICHARDS NP
Provider Business Mailing Address
First Line : 1015 HANCOCK DR
Second Line :
City : AMERICUS
State : GA
Zip : 31709-4129
Country : US
Telephone Number : 229-815-4832
Fax Number :
Provider Business Practice Location Address
First Line : 6600 WHITTLESEY BLVD STE A
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-7337
Country : US
Telephone Number : 706-321-0476
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 06/13/2023

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