Individual
MS. PORSHA LYNN RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1117 S DOUGLAS BLVD STE B, MIDWEST CITY, OK 73130-5265
(405) 208-4573
(405) 429-4083
Mailing address
1117 S DOUGLAS BLVD STE B, MIDWEST CITY, OK 73130-5265
(405) 208-4573
(405) 429-4083
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
20472
CA
363LA2200X
Adult Health Nurse Practitioner
306010
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
83097
OK
363LA2200X
Adult Health Nurse Practitioner
RN182800
GA
363LW0102X
Women's Health Nurse Practitioner
421072
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200532830A
—
OK
01
—
83097
LICENSE
OK
Enumeration date
11/02/2010
Last updated
05/01/2026
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