MRS. THRESIAMMA IDICHANDY, NURSE PRACTITIONER
Nurse Practitioner - Family
Active
Individual
NPI: 1063422319
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 4704171067 (MI) |
Frequently Asked Questions
NPI 1063422319 is the National Provider Identifier for MRS. THRESIAMMA IDICHANDY, NURSE PRACTITIONER, a Nurse Practitioner - Family provider located in Richardson, TX. This NPI was enumerated on August 9, 2006.
MRS. THRESIAMMA IDICHANDY, NURSE PRACTITIONER practices at 234 W CAMPBELL RD, Richardson, TX 75080.
Quick Facts
- NPI
- 1063422319
- Type
- Individual
- Enumerated
- Aug 9, 2006
- Last Updated
- Oct 7, 2025
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