Individual
LUANN G RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
117 VIP DR STE 310, WEXFORD, PA 15090-6936
(878) 231-6919
Mailing address
8150 PERRY HWY STE 201, PITTSBURGH, PA 15237-5200
(412) 364-4402
(412) 364-8037
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP001343B
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP012881
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362219
KEYSTONE HEALTH PLAN WEST
PA
01
—
SP001343B
COMMONWEALTH OF PENNSYLVANIA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
01
—
SP012881
COMMONWEALTH OF PENNSYLVANIA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
06/21/2006
Last updated
05/13/2025
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