Shamekia Shuntell Richardson, LPN
Licensed Practical Nurse in Columbia, SC. Individual provider (NPI-1).
NPI number1982254033
StatusActive
Last updated in NPPESSep 19, 2019
Details
- NPI
- 1982254033
- Entity type
- Individual (NPI-1)
- Name
- Shamekia Shuntell Richardson
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2019
- Last updated
- Sep 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 45082 | SC | Yes |
Practice location
3809 Rosewood DrColumbia, SC 29205-3533
Phone 803-939-2642 · Fax 803-754-7783
Mailing address
323 Kellwood WayColumbia, SC 29229-7578
Phone 803-422-9955
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