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NPI Code Detail

MEDICARE: KRISTEN RICHARDSON ARNP, PC

MEDICARE: KRISTEN RICHARDSON ARNP, PC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerG095377IA

General Provider Information

NPI Number : 1124294889
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRISTEN RICHARDSON ARNP, PC
Provider Business Mailing Address
First Line : 221 E COLLEGE ST STE 211
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-1759
Country : US
Telephone Number : 319-337-3313
Fax Number : 319-337-0686
Provider Business Practice Location Address
First Line : 221 E COLLEGE ST STE 211
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-1759
Country : US
Telephone Number : 319-337-3313
Fax Number : 319-337-0686
Authorized Official
Title or Position : PRESIDENT
Name : KRISTEN PAIGE RICHARDSON
Credential : ARNP
Telephone Number : 319-337-3313
Provider Enumeration Date : 05/02/2008
Last Update Date : 05/02/2008

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