Basic Information
| Provider Information | |||||||||
| NPI: | 1497769368 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RICHENS | ||||||||
| FirstName: | SHARON | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 161 W 200 N | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | ST GEORGE | ||||||||
| State: | UT | ||||||||
| PostalCode: | 847702728 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4356524040 | ||||||||
| FaxNumber: | 4356524041 | ||||||||
| Practice Location | |||||||||
| Address1: | 161 W 200 N | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | ST GEORGE | ||||||||
| State: | UT | ||||||||
| PostalCode: | 847702728 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4356524040 | ||||||||
| FaxNumber: | 4356524041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2006 | ||||||||
| LastUpdateDate: | 06/22/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 48264031205 | UT | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.