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DIANE RICHARDSON NURSE PRACTITIONER LLC
NPI 1487776332
Nurse Practitioner - Psychiatric/Mental Health in Grandville, MI

Active since April 04, 2007
0141 PORT SHELDON RD, GRANDVILLE, MI 49418(616) 235-2090(616) 235-2099 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane Richardson Nurse Practitioner Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE RICHARDSON NURSE PRACTITIONER LLC (NPI 1487776332) is a healthcare organization registered as a psychiatric/mental health in Grandville, Michigan and active in the NPI registry since April 2007. The organization lists Diane Richardson, Owner, as its authorized official.

NPPES Registry Identity

NPI1487776332
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDIANE RICHARDSON NURSE PRACTITIONER LLC
Location Address0141 PORT SHELDON RDGrandville, MI 49418
Mailing AddressPo Box 1767Grand Rapids, MI 49501-1767 · (616) 235-2090 · Fax (616) 235-2099
Phone(616) 235-2090
Fax(616) 235-2099
Organization SubpartNo
Authorized OfficialDiane RichardsonOwner · (616) 235-2090
Enumeration DateApril 4, 2007
Last NPPES UpdateNovember 4, 2014
✔ NPI 1487776332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704110245
0141 PORT SHELDON RD, Grandville, MI 49418
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Other Identifiers 1

Medicare ID-Type Unspecified0P20830MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Richardson Nurse Practitioner LLC's NPI number?

The NPI number for Diane Richardson Nurse Practitioner LLC is 1487776332. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Diane Richardson Nurse Practitioner LLC located?

Diane Richardson Nurse Practitioner LLC is located at 0141 Port Sheldon Rd, Grandville, MI 49418. The listed phone number is (616) 235-2090.

What is Diane Richardson Nurse Practitioner LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Diane Richardson Nurse Practitioner LLC was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.