Individual
MRS. LESLEY NICOLE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, MNA, CRNA
Contact information
Practice address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
Mailing address
1429 TAMARIND LN, CHAPIN, SC 29036-6324
(386) 288-4529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
243523
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
26136
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN3702
—
SC
Enumeration date
06/01/2021
Last updated
05/08/2023
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