CASEY R. RICHARDSON

FORT WAYNE, IN
NPI1427714898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71012084A)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IN  71012084A)
163W00000X Registered Nurse
(Licence: IN  28229259A)
Enumeration Date2021-11-10
Last Update Date2022-01-20
Business Address
CASEY R. RICHARDSON NP
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
Mailing Address
CASEY R. RICHARDSON NP
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514