IndividualActive
Michelle Richmond, AG-PCNP
NPI 1306470851 · Gerontology Nurse Practitioner · Waterloo, IA
Provider details
- NPI number
- 1306470851
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-PCNP
- Sex
- Female
- Sole proprietor
- No
- License
- AG02200055 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1440 W Dunkerton Rd
Waterloo, IA 50703-9648
Phone: (319) 291-2455
Fax: (319) 291-2464
Approximate (ZIP-level) locationGet directions
Mailing address
1440 W Dunkerton Rd
Waterloo, IA 50703-9648
Registry dates
- Enumerated
- 2020-02-24
- Last updated
- 2020-02-24
- Certified
- 2020-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.