Individual
NYCOLE BERNADETTE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-0001
(214) 645-8300
(214) 645-7999
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(469) 291-3369
(469) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
691680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220476006
—
TX
01
—
8593UJ
BCBS
TX
01
—
P01446737
RR
TX
Enumeration date
06/13/2009
Last updated
10/26/2022
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