Individual
MRS. DONNA MARIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2495 SHREVEPORT HWY 71 N, PINEVILLE, LA 71360-9004
(318) 473-0010
(318) 483-5072
Mailing address
PO BOX 17874, NATCHEZ, MS 39122-7874
(601) 445-0907
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
496863894
LA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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