IndividualActive
Shannon Richardson, RN, RD/LD, CDCES
NPI 1902490337 · Diabetes Educator Registered Nurse · Oklahoma City, OK
Provider details
- NPI number
- 1902490337
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN, RD/LD, CDCES
- Sex
- Female
- Sole proprietor
- Yes
- License
- 107398 (OK)
Practice location
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone: (405) 936-5402
Mailing address
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Registry dates
- Enumerated
- 2021-02-25
- Last updated
- 2021-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.