Provider Demographics
NPI:1124294889
Name:KRISTEN RICHARDSON ARNP, PC
Entity type:Organization
Organization Name:KRISTEN RICHARDSON ARNP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:319-337-3313
Mailing Address - Street 1:221 E COLLEGE ST STE 211
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-1759
Mailing Address - Country:US
Mailing Address - Phone:319-337-3313
Mailing Address - Fax:319-337-0686
Practice Address - Street 1:221 E COLLEGE ST STE 211
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1759
Practice Address - Country:US
Practice Address - Phone:319-337-3313
Practice Address - Fax:319-337-0686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG095377363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty