Laura Renae Richard, RN

Individual provider Active NPI School Registered Nurse · Honolulu, HI

NPI 1164087078 · NPPES record last updated May 6, 2019

Key facts

NPI
1164087078
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
77951 (HI)
Practice address
2620 Date St Apt C5
Honolulu, HI 96826-5612
Phone
(808) 216-3384
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
77951HIMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 77951 HI Yes

Addresses

Primary practice location

2620 Date St Apt C5
Honolulu, HI 96826-5612

Mailing address

2620 Date St Apt C5
Honolulu, HI 96826-5612
Phone (808) 216-3384

Other names

  • Laura Renae Richard Professional name

Other providers in Honolulu, HI

All providers in Honolulu, HI · School Registered Nurse in Hawaii

Sources for this page

Verify at the official NPI Registry.