Individual
MS. DEBORAH G RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CS
Contact information
Practice address
950 S 1ST ST, LOUISVILLE, KY 40203-2288
(502) 585-9444
(502) 585-9466
Mailing address
950 S 1ST ST, LOUISVILLE, KY 40203-2288
(502) 585-9444
(502) 585-9466
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
1055914
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2863S
KY
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2863S
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219668
ANTHEM
KY
01
—
198882000
MAGELLAN
KY
01
—
343478
TRICARE
KY
05
—
9036
—
KY
Enumeration date
01/24/2007
Last updated
06/11/2014
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