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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. THRESIAMMA IDICHANDY, NURSE PRACTITIONER

Active

MRS. THRESIAMMA IDICHANDY, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in RICHARDSON, Texas. NPI 1063422319 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · RICHARDSON, TX

Registration Details

NPI Number
1063422319
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2006 (19.828827819489 yrs)
Last Updated
Oct 7, 2025
Licenses
1207120 (TX)
4704171067 (MI)

Practice Information

Address
234 W CAMPBELL RD
RICHARDSON, TX, 750803512
Browse TX providers · Browse ZIP 75080
Phone
9724743221
Fax
5127829316
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in RICHARDSON, TX

Name Credential NPI
MRS. LAURA ELIZABETH GRUNDY FNP 1346209673
JEAN ANN FORESEE NP 1033259304
NERCHI LOVE NERMAL NP 1427193762
MRS. LEATHA EVELYN HARRELL MSN, RN, FNP-C 1114059961
ASHLEY R PICHON FNP 1518116334
MS. ANDREA LYNN SMITH FNP-C 1205089877
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.