Individual
AMY L RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 442-5399
(318) 442-1586
Mailing address
1444 PETERMAN DR, ALEXANDRIA, LA 71301-3432
(318) 442-5399
(318) 442-1586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
242923
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
242923
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770814709
—
VA
01
—
242923
APRN
LA
01
—
3810017170
WEST VIRGINIA MEDICAID
VA
01
—
542030773
TRICARE
VA
Enumeration date
01/14/2010
Last updated
09/19/2025
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