Doctor Name: | MR. GALEN FRANCIS RICHMOND |
NPI Number: | 1023072519 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN |
License Number: | AP3314 |
Business Practice Address: | 5020 Flower Ct Prescott, AZ - 863015856 |
Business Phone Number: | 6077257026 |
Business Fax Number: | |
Mailing Address: | 5020 Flower Ct, PRESCOTT |
State: | AZ |
Postal Code: | 863015856 |
Phone Number: | 6077257026 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 12/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | AP3314 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |