| Doctor Name: | AMY LYNN RICHARDSON |
| NPI Number: | 1235512740 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 3009439 |
| Business Practice Address: | 2885 Alexandria Way Highland Heights, KY - 410761511 |
| Business Phone Number: | 8597570434 |
| Business Fax Number: | 8594410906 |
| Mailing Address: | 2300 Chamber Center Dr, LAKESIDE PARK |
| State: | KY |
| Postal Code: | 410171686 |
| Phone Number: | 8597570434 |
| Fax Number: | 8594410906 |
| NPI Enumeration Date: | 07/01/2015 |
| NPI Last Update Date: | 04/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3009439 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |