NPI 1174456362

Andrea Richardson

Practitioner Driver Fort Wayne, IN

Practice location

Address: 4017 Smith St, Fort Wayne, IN 46806-1801
Phone: (260) 342-3873

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 1270070609 (IN)

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Registry record

NPI: 1174456362
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2026
Record last updated: 5 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.