# MRS. TIFFANY THERESE RICHARDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740566827
- **Gender:** F
- **Credential:** APRN FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 28147328A | IN | — |
| 363L00000X | Nurse Practitioner | 71003700A | IN | Yes |

## Other

- **Enumeration date:** 11/02/2011
- **Last updated:** 02/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000816222 | BCBS | IN |
| 05 | — | 201077780 | — | IN |