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NPI 1174456362

IndividualActive

Andrea Richardson

NPI 1174456362 · Driver · Fort Wayne, IN

Provider details

NPI number: 1174456362
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Female
Sole proprietor: No
License: 1270070609 (IN)

Specialties & taxonomies

DriverPrimary172A00000XLicense 1270070609 (IN)
Other Service Providers

Practice location

4017 Smith St

Fort Wayne, IN 46806-1801

Phone: (260) 342-3873

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

4017 Smith St

Fort Wayne, IN 46806-1801

Registry dates

Enumerated: 2026-06-05
Last updated: 2026-06-05
Certified: 2026-06-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrea Richardson — NPI 1174456362, Fort Wayne, IN | NPI Central