Individual
MS. DIANE L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, COLORADO SPRINGS, CO 80913-4604
(719) 524-4052
Mailing address
1650 COCHRANE CIR UNIT MEDDAC, COLORADO SPRINGS, CO 80913-4604
(719) 524-4052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
5008447
NC
363LF0000X
Family Nurse Practitioner
Primary
APN.0993161-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063874733
—
NC
05
—
NP3828
—
SC
Enumeration date
03/22/2016
Last updated
09/25/2024
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