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NPI Code Detail

MEDICARE: MRS. TNESHIA LEA RICHARDS RN, FNP-C

MEDICARE: MRS. TNESHIA LEA RICHARDS RN, FNP-C
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
1163W00000XRegistered Nurse210468NC
2363LF0000XFamily Nurse Practitioner5013326NC

General Provider Information

NPI Number : 1295053510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TNESHIA LEA RICHARDS RN, FNP-C
Provider Business Mailing Address
First Line : 47 EAST FORK ROAD
Second Line :
City : SYLVA
State : NC
Zip : 28779-8002
Country : US
Telephone Number : 828-631-2717
Fax Number : 828-631-9697
Provider Business Practice Location Address
First Line : 47 EAST FORK ROAD
Second Line :
City : SYLVA
State : NC
Zip : 28779-8002
Country : US
Telephone Number : 286-312-7178
Fax Number : 828-631-9697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2010
Last Update Date : 02/06/2024

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