Doctor Name: | TONYA L RICHARDS |
NPI Number: | 1003826249 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-091927 |
Business Practice Address: | 1412 Elba Hwy Troy, AL - 360790000 |
Business Phone Number: | 3346706726 |
Business Fax Number: | 3346706723 |
Mailing Address: | Po Box 11087, MONTGOMERY |
State: | AL |
Postal Code: | 361110087 |
Phone Number: | 3344811599 |
Fax Number: | 3342812308 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 12/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-091927 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |