# CRYSTAL LYNN RICHARDSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780245662
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RICH-OW8RAX | NC | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 5011947 | NC | Yes |

## Other

- **Enumeration date:** 06/22/2019
- **Last updated:** 09/11/2023