Individual
MRS. NICOLE YVETTE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1705 W 25TH AVE STE 102, GARY, IN 46404-3544
(219) 791-1555
(219) 884-0211
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
(630) 491-5472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28134643A
IN
363LF0000X
Family Nurse Practitioner
28134643A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002885A
IN
Other
Enumeration date
08/23/2007
Last updated
02/25/2026
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