Individual
MARY DARLEEN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9000 WOODYARD RD, CLINTON, MD 20735-4206
(240) 546-3428
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0814690
NJ
364SF0001X
Family Health Clinical Nurse Specialist
RN1035180
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013318211
—
NJ
Enumeration date
09/08/2014
Last updated
04/09/2018
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