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Individual

FELICIA R. RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
2280 HEMBY LN, GREENVILLE, NC 27834-3773
(252) 744-9400
(252) 744-9401
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
219779
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
189QL
BCBS NC
NC
05
7004728
NC
01
P00963712
RAILROAD MEDICARE PROV #
NC
Enumeration date
01/21/2011
Last updated
04/03/2024
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