Richardson, Leah Kathryn

Richardson, Leah Kathryn is an individual health care provider with primary practice located at 213 Middlebury St , Goshen IN 46528. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Richardson, Leah Kathryn can be contacted via phone (574) 534-3300.

Contact Information

Primary practice address
213 Middlebury St Goshen IN 46528
Phone: (574) 534-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28204011A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71008163A Indiana

Profile Details

NPI number 1407341233
LBN Legal business name Richardson, Leah Kathryn
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2018
Last updated Dec 31st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407341233 NPPES
Indiana MEDICAID 300017737

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