Anaresia Marie Richard, FNP

Individual provider Active NPI Primary Care Nurse Practitioner · Mohave Valley, AZ

NPI 1821093477 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1821093477
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
License
AP1692 (AZ)
Practice address
10225 Harbor Ave
Ste 5
Mohave Valley, AZ 86440-9699
Phone
(928) 788-2373
Fax
(928) 788-2374
NPI assigned
Jun 19, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13987CAMDOccupational Therapist
AP1692AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Healthcare Past
since Jan 1, 1990
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP1692 AZ Yes

Addresses

Primary practice location

10225 Harbor Ave
Ste 5
Mohave Valley, AZ 86440-9699

Mailing address

10225 Harbor Ave
Ste 5
Mohave Valley, AZ 86440-9699
Phone (928) 788-2373

Other providers in Mohave Valley, AZ

All providers in Mohave Valley, AZ · Primary Care Nurse Practitioner in Arizona

Sources for this page

Verify at the official NPI Registry.