Individual
MRS. MICHELLE NICOLE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1253 CAROLINE ST NE STE 118, ATLANTA, GA 30307-2759
(470) 475-3445
Mailing address
5802 JAMERSON DR, ATLANTA, GA 30349-7017
(615) 818-3501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
214624
GA
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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