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Individual

AMY K RICHMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP, BC

Contact information

Practice address
801 PEACOCK RD, RICHMOND, IN 47374-2832
(765) 277-0864
Mailing address
801 PEACOCK RD, RICHMOND, IN 47374-2832
(765) 277-0864

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001608A
IN
363LA2200X
Adult Health Nurse Practitioner
COA.07779-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000754326
ANTHEM
IN
05
200961630
IN
Enumeration date
10/28/2005
Last updated
09/16/2021
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