PHYLICIA R RICHARDSON

INDIANAPOLIS, IN
NPI1255798823
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71006018A)
Enumeration Date2016-01-27
Last Update Date2021-02-03
Business Address
PHYLICIA R RICHARDSON NP
1800 N CAPITOL AVE NP E-140
INDIANAPOLIS, IN 46202-1218
Phone number: 317-962-2894
Mailing Address
PHYLICIA R RICHARDSON NP
250 N SHADELAND AVE STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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