DEREK ANDREW RICHARDSON
NPI 1497460182
Student in an Organized Health Care Education/Training Program in Morgantown, WV

Active since January 18, 2023
517 VANTAGE DR, MORGANTOWN, WV 26508(304) 906-8201 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derek Andrew Richardson NPPES

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

DEREK ANDREW RICHARDSON (NPI 1497460182) is an individual student in an organized health care education/training program in Morgantown, West Virginia and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1497460182
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK ANDREW RICHARDSON
Location Address517 VANTAGE DRMorgantown, WV 26508-2635
Mailing Address517 Vantage DrMorgantown, WV 26508-2635
Sole ProprietorNo
Enumeration DateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
NPI 1497460182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

517 VANTAGE DR, Morgantown, WV 26508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497460182, enumerated as an "individual" on January 18, 2023.

The provider is located at 517 VANTAGE DR MORGANTOWN, WV 26508 and the phone number is (304) 906-8201.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.