Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APRN.CNP.023770 | OH |
NPI | 1003309535 |
---|---|
Provider Name | Sheena Louise Richardson |
First Address | Dublin, OH 43016-8068 |
Second Address | Dublin, OH 43016-8068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2018 |
Last Update Date | 09/12/2018 |