Most Relevant Information
Provider Data
| NPI Number: | 1003000837 |
| Provider Name: | RICHARD L JOHN APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | NPF 13309 |
Most Important Dates
| Enumeration Date: | 09/05/2007 |
| Last Updated: | 11/24/2014 |
Provider Practice Location
1550 E MAIN ST
MENTAL HEALTH
SANTA MARIA
CA
934544819
Practice Location Phone/Fax
| Phone: | 8053546053 |
| Fax: |
Provider Mailing Location
1550 E. MAIN ST
MENTAL HEALTH
SANTA MARIA
CA
93254
Provider Mailing Phone/Fax
| Phone: | 8053546053 |
| Fax: |