Doctor Name: | ALYS G RICHARDSON |
NPI Number: | 1013106343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN062453 |
Business Practice Address: | 4615 Government St Building 2 Baton Rouge, LA - 708065820 |
Business Phone Number: | 2259251906 |
Business Fax Number: | 2259251987 |
Mailing Address: | 4615 Government St, Building 2 BATON ROUGE |
State: | LA |
Postal Code: | 708065820 |
Phone Number: | 2259251906 |
Fax Number: | 2259251987 |
NPI Enumeration Date: | 10/23/2007 |
NPI Last Update Date: | 10/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN062453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |