Tyler Richardson, - Registered Nurse in Charleston, SC

Tyler Richardson, is a Registered Nurse - Pediatrics based in Charleston, South Carolina. Tyler Richardson is licensed to practice in South Carolina (license number 240296) and his current practice location is 171 Ashley Ave, Charleston, South Carolina. He can be reached at his office (for appointments etc.) via phone at (843) 792-1414.

NPI number for Tyler Richardson is 1093552630 and his current mailing address is 605 Trio Ln, Summerville, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093552630.

Contact Information

Tyler Richardson,
171 Ashley Ave,
Charleston, SC 29425-0100
(843) 792-1414
Not Available

Map and Direction




Provider's Profile

Full NameTyler Richardson
GenderMale
SpecialityRegistered Nurse - Pediatrics
Location171 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093552630
  • Provider Enumeration Date: 07/11/2024
  • Last Update Date: 07/11/2024

Medical Identifiers

Medical identifiers for Tyler Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093552630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0200XRegistered Nurse - Pediatrics 240296 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Richardson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tyler Richardson,
605 Trio Ln,
Summerville, SC 29486-5442

Ph: (803) 741-6378
Tyler Richardson,
171 Ashley Ave,
Charleston, SC 29425-0100

Ph: (843) 792-1414

Reviews and Comments


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