Individual
PAMELA BROUGH RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C, ENP-C
Contact information
Practice address
1201 S CARSON ST, CARSON CITY, NV 89701-5225
(775) 445-8000
Mailing address
675 LUCAS DR, CARSON CITY, NV 89701-5600
(432) 294-1698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
593564
TX
363LF0000X
Family Nurse Practitioner
61962
NM
363LF0000X
Family Nurse Practitioner
Primary
828304
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12450092
CAQH PROVIDER ID
—
Enumeration date
08/15/2012
Last updated
02/19/2026
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