Provider Demographics
NPI:1023598265
Name:RICHEY, NIKOLUS REMINGTON (PA-C)
Entity type:Individual
Prefix:
First Name:NIKOLUS
Middle Name:REMINGTON
Last Name:RICHEY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10414 W HIGHWAY 2 STE 10
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-5347
Mailing Address - Country:US
Mailing Address - Phone:509-342-3380
Mailing Address - Fax:509-342-3381
Practice Address - Street 1:11402 N NEWPORT HWY STE A
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1661
Practice Address - Country:US
Practice Address - Phone:509-352-7814
Practice Address - Fax:509-362-9875
Is Sole Proprietor?:No
Enumeration Date:2018-08-17
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPA60999283207Q00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine