Provider Demographics
NPI:1083466122
Name:RICHARDS, JOANNA M
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:M
Last Name:RICHARDS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:M
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2605 PLUMBAGO CT
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-2220
Mailing Address - Country:US
Mailing Address - Phone:408-642-0738
Mailing Address - Fax:
Practice Address - Street 1:3840 ROSIN CT
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-1639
Practice Address - Country:US
Practice Address - Phone:530-753-2566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion