Provider Demographics
NPI:1689368250
Name:RICHINS, ANGEE (RN)
Entity Type:Individual
Prefix:
First Name:ANGEE
Middle Name:
Last Name:RICHINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANGEE
Other - Middle Name:
Other - Last Name:CHILD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2672 N 750 E
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-2868
Mailing Address - Country:US
Mailing Address - Phone:801-362-6529
Mailing Address - Fax:
Practice Address - Street 1:2672 N 750 E
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2868
Practice Address - Country:US
Practice Address - Phone:801-362-6529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT198780-3102163WP0807X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent