Individual
NICHOLAS RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4721
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
11469067-1206
UT
363AM0700X
Medical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11469067-1206
UTAH LICENSE
UT
01
—
11469067-8906
UTAH CS 2-5 LICENSE
UT
Enumeration date
11/23/2016
Last updated
01/11/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us