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Individual

DEMETRIA WARD-RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
Mailing address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
260698
NC

Other

Enumeration date
02/05/2022
Last updated
05/01/2022
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