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NPI Code Detail

MEDICARE: MS. RAYE HILDA RICHARDSON RN

MEDICARE: MS. RAYE HILDA RICHARDSON RN
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 Nurse95185114CA

General Provider Information

NPI Number : 1497832034
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RAYE HILDA RICHARDSON RN
Provider Business Mailing Address
First Line : 2686 SPRING ST
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-3522
Country : US
Telephone Number : 650-257-8820
Fax Number :
Provider Business Practice Location Address
First Line : 2686 SPRING ST
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-3522
Country : US
Telephone Number : 650-257-8820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 06/14/2022

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