RICHARDSON DESMANGLES FNP-C NPI 1467100487

NPI Information

  • NPI: 1467100487
  • Provider Name: RICHARDSON DESMANGLES, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 50 WALTON GREEN WAY NW APT 322
    KENNESAW, GA
    ZIP 30144
  • Phone: (260) 479-0409

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NPI Details

Richardson Desmangles, FNP-C is a family nurse practitioner in Kennesaw, GA with 4 years of experience. Richardson Desmangles, FNP-C NPI is 1467100487. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

50 WALTON GREEN WAY NW APT 322
KENNESAW, GA
ZIP 30144-295
Phone: (260) 479-0409

The NPI 1467100487 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/17/2022 and was last updated on 3/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily307243GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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