Individual
ANDREA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
601 GREEN VALLEY RD, CAMERON, WV 26033-1161
(813) 808-6962
Mailing address
601 GREEN VALLEY RD, CAMERON, WV 26033-1161
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
123990
WV
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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