NPI 1801560552 · live from the CMS NPI Registry
Sandra J Richardson, NP
Nurse Practitioner, Obstetrics & Gynecology in Missoula, MT. National Provider Identifier 1801560552, active.
NPI record
| NPI | 1801560552 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Obstetrics & Gynecology 363LX0001X |
| Practice location | 500 W Broadway St, Missoula, MT 59802 |
| Practice phone | 406-721-5600 |
| Mailing address | Po Box 7609, Missoula, MT 59807 |
| Enumerated | August 5, 2021 |
| Last updated | March 22, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 21687 (MT) |
| Nurse Practitioner, Obstetrics & Gynecology primary | 363LX0001X | 177829 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.