# PATRICE AVA-DAWN RICHARDSON

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

## Provider details

- **NPI number:** 1790821064
- **Gender:** F
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 232168 | MA | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 232168 | MA | — |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 12/22/2016