Nicole Cagle Richardson
Pediatrician
1001 Blythe Blvd Medical Center Plaza Suite 200
Charlotte
, North Carolina 28203-5866
Nicole Cagle Richardson
Pediatrician
1001 Blythe Blvd Medical Center Plaza Suite 200
Charlotte
, North Carolina 28203-5866
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Nicole Cagle Richardson
- Po Box 19305
- Charlotte, NC
- Zip : 28219-9305
- Phone :
Second Address
- Nicole Cagle Richardson
- 1001 Blythe Blvd Medical Center Plaza Suite 200
- Charlotte, NC
- Zip : 28203-5866
- Phone : (704) 381-8840
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 2011-01311 | NC |
| N | 208000000X | Pediatrician | 31450 | SC |
National Provider Identifier
| NPI | 1013065507 |
|---|---|
| Provider Name | Nicole Cagle Richardson |
| First Address | Charlotte, NC 28219-9305 |
| Second Address | Charlotte, NC 28203-5866 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2007 |
| Last Update Date | 05/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.