Individual
CHARLOTTE AMY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-7913
(910) 615-9787
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-6949
(910) 615-9761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2282749
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
CCNA5233
NC
Other
Enumeration date
04/19/2013
Last updated
08/13/2019
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