Individual
MRS. SYDNEY ANNE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
17201 I H 45 S, SHENANDOAH, TX 77385-3311
(936) 270-2099
Mailing address
17201 I H 45 S, SHENANDOAH, TX 77385-3311
(936) 270-2099
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
792246
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP119750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329973701
—
TX
05
—
329973702
—
TX
05
—
329973704
—
TX
01
—
8253ND
BLUE CROSS BLUE SHIELD
TX
01
—
8308NH
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/14/2013
Last updated
04/19/2018
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