Individual
SAMANTHA DION RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12301 GRAPEFIELD RD, BASTIAN, VA 24314-4547
(276) 688-4331
(276) 688-4336
Mailing address
12301 GRAPEFIELD RD, BASTIAN, VA 24314-4547
(276) 688-4331
(276) 688-4336
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024178357
VA
363L00000X
Nurse Practitioner
2021029431
MO
363L00000X
Nurse Practitioner
209.022272
IL
Other
Enumeration date
07/02/2020
Last updated
12/30/2022
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