Penny Jill Richards, RN
Individual provider Active NPI School Registered Nurse · Maxwell, NM
NPI 1558967984 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1558967984
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- 2009018552 (MO)
- Practice address
- 4TH and Parque
Maxwell, NM 87728 - Phone
- (575) 375-3003
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2009018552 | MO | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxwell Municipal Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 2009018552 | MO | Yes |
Addresses
Primary practice location
4TH and Parque
Maxwell, NM 87728
Mailing address
PO Box 275
Maxwell, NM 87728-0275
Phone (575) 375-3003
Other providers in Maxwell, NM
All providers in Maxwell, NM · School Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.