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Provider Information for 1093301350

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

CAPRICA RICHARDSON CRNA

Gender: FEMALE

Individual NPI: 1093301350

Calendar   Last Updated:  2020-12-21
  Certification Date:  2020-11-21

Details

Name Value
NPI 1093301350
Enumeration Date 2020-12-21
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1804 HUNTER XING
BOSSIER CITY, LA 71111-8148
United States

Phone: 318-578-0591 | Fax:
View Map External Link
Primary Practice Address 1541 KINGS HWY
SHREVEPORT, LA 71103-4228
United States

Phone: 318-626-0000 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
CONNECT URL https://ohslink.ochsner.org/Citrix/ctxportal1Web/ Direct CSV 1541 KINGS HWY
SHREVEPORT, LA 71103-4228
United States
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 163W00000X - Registered Nurse LA 137445