Provider Demographics
NPI:1437341435
Name:RICHERT, NANCY D (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:D
Last Name:RICHERT
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5630 WISCONSIN AVE
Mailing Address - Street 2:APT 606
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4450
Mailing Address - Country:US
Mailing Address - Phone:301-654-6293
Mailing Address - Fax:
Practice Address - Street 1:NATIONAL INSTITUTE OF NEUROLOGIC DISORDERS AND STROKE
Practice Address - Street 2:BLDG 10, RM B1N256 NIH
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-435-4488
Practice Address - Fax:301-402-3216
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00483122085N0700X, 2085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE