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Individual
MS. RICHELLE THERESA HEADLEY
Active
Individual
MS. RICHELLE THERESA HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022551
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209022551
STATE OF ILLINOIS APN LICENSE NUMBER
IL
Enumeration date
12/22/2020
Last updated
07/18/2023
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